Corporate Golf Challenge Sponsor and Foursome Registration Company or Individual Sponsor Name(Required)As it should appear in print.Sponsorship Level Platinum Sponsor $7,500 Halfway House $6,000 Titanium Sponsor $5,000 Hole Sponsor $3,000 Non-Golf Sponsorships Bernie Ronnisch’s Mission Moment $ 500 (Does not include a foursome.)I would like to make a donation Upload Company Logo (Optional)Accepted file types: jpeg, png, Max. file size: 50 MB. Primary Contact(Required) First Last Primary Contact Email(Required) Enter Email Confirm Email Phone(Required)ExtensionPhone Type(Required) Mobile/Cell Office Address(Required) Street Address (include suite or apt.#) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secondary Contact Person(Required)Would you like us to work with a member of your staff on logistics (guest names, ads, etc.)?Select oneYESNO, work with meSecondary Contact Name First Last Secondary PhoneSecondary Email PAYMENT INFORMATIONAmount Due Payment Method(Required)Please choose method…Check (An invoice will be emailed.)EFT, ACH, DAFs (Bank instructions will be emailed.)Credit Card – Pay NowDue to service fees, Check, EFT, ACH, DAF are preferred. Credit Cards are certainly welcomed. We appreciate your support. Thank you! Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name
