St. Joseph's Center Sponsorship Form

Carl Jones
Golf Classic

Monday, September 11, 2017

Glen Oak Country Club

Secure Online Sponsorship Form

Please note that fields with an asterisk (*) are required.

My sponsorship donation of   $250   Other amount   $  .00

I would like the following name/business to be listed in recognition of my sponsorship.

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*Zip Code:  *E-mail: 
*Daytime Phone #:  Evening Phone #: 

Company/Organization Name: 

Sponsors at the $250 level or higher are invited to the tournament dinner.

                             *I/We will be attending the dinner        Number attending 

*Credit Card Type: 
*Credit Card #: 
*Exp. Date:  /

Special Requests:

After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the Submit button will result in duplicate charges to your account.
An email confirmation will be sent to the email address you provided.


Saint Joseph's Center
2010 Adams Avenue • Scranton, Pennsylvania 18509 • Phone: 570-342-8379 • Fax: 570-342-6080
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