Yes, I’m ready to play!
☐Clubhouse Sponsor - $10,000
☐19th Hole Cocktail Reception Sponsor - $5,000
☐Foursome and Hole Sponsor - $3,500
☐Foursome - $2,900
☐Register by June 30 - $2,600
☐Single Player - $750 ☐Register by June 30 - $650
☐ Register by July 31 - $2,800
☐ Register by July 31 - $700
Requesting Caddie (to be paid directly to caddie after play)
☐ 2 Bagger ($70 per bag + gratuity)
☐ Forecaddie for Foursome ($120 per foursome + gratuity)
Limited number of caddies available on a first come, first serve basis, day of the event.
I can’t play, but I would like to:
☐Attend the 19th Hole Cocktail Reception - $150 per person
# of guests: Click here to enter text.
☐Be a Hole Sponsor at $500
☐Make a Contribution of $ Click here to enter text.
..........................................................
☐My check made payable to Habitat CFC is enclosed.
☐Please charge my: ☐ Visa ☐ MasterCard ☐ Amex
Card
☐ Personal Card or ☐ Company
Name on Credit Card Click here to enter text.
CC#: Click here to enter text. Exp. Date: Click here to enter text.CVV#: Click here to enter text.
☐Please invoice Primary Contact - Player #1 at address listed on second page.
Player Information
Player #1 – Primary Contact
Name: Click here to enter text.
Index: Click here to enter text. Shirt Size: Click here to enter text.
Company/Organization: Click here to enter text.
Street Address: Click here to enter text.
City/State/Zip Code: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Player #2
Name: Click here to enter text.
Index: Click here to enter text. Shirt Size: Click here to enter text.
Company/Organization: Click here to enter text.
Street Address: Click here to enter text.
City/State/Zip Code: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Player #3
Name: Click here to enter text.
Index: Click here to enter text. Shirt Size: Click here to enter text.
Company/Organization: Click here to enter text.
Street Address: Click here to enter text.
City/State/Zip Code: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Player #4
Name: Click here to enter text.
Index: Click here to enter text. Shirt Size: Click here to enter text.
Company/Organization: Click here to enter text.
Street Address: Click here to enter text.
City/State/Zip Code: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Please mail, fax, or email this two-page form to the contact information below.
Thank you for your support!
1542 Barnum Ave., Bridgeport, CT 06610
Tel: 203-333-2642 •r Fax: 203-333-2650
Email: [email protected]