Hope with Heart Secure Online Registration Form

Golf Tournament 2017
Monday, May 1, 2017
White Beaches Golf & Country Club
Haworth, New Jersey



Secure Online Registration Form

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

Our Sponsorship Opportunities
 
Platinum Sponsor $10,000
Includes two Foursomes and name prominently displayed at
the Breakfast, Cocktail Reception, Dinner, and in the Event Program.
Gold Sponsor $4,500
Includes Foursome and name prominently displayed
at Cocktail Reception, Dinner and in the Event Program.
Silver Sponsor $3,000
Includes Foursome and name prominently displayed at Luncheon and in the Event Program.
Hole-In-One Sponsor $2,500
(Various Prizes: Car, Trip, etc.)
Includes Foursome and name prominently displayed
at Hole and in the Event Program.
Corporate Sponsor $1,800
Includes Foursome, Tee Sponsor
Prize Sponsor $250
Name will be prominently displayed at the Prize Table and in the Event Program.
Donation of a specific gift of greater or equal value is welcome.
Tee Sponsor $250
Name will be prominently displayed at the Hole
and in the Event Program

                         Platinum Sponsor
 Gold Sponsor
 Silver Sponsor
 Hole-In-One Sponsor
 Corporate Sponsor
 Prize Sponsor
 Tee Sponsor
 Not at the moment.

  If you choose to become a Prize Sponsor, will you be donating a gift of equal or greater value?  Yes   No 

Other Registration Options
Foursome    $1,600
Includes lunch, reception, dinner, golf
and cart fees.
Individual    $400
Includes lunch, reception, dinner, golf
and cart fees.
Dinner Only    $100


Individual registration at $400 per golfer .00
Foursome(s) registration at $1,600 per foursome. .00
Dinner Only reservation(s) at $ 100 per person. .00
I cannot attend, but I would like to make a contribution to Hope With Heart .00

Total Amount $  .00

Attendants List: (No commas or characters, please)

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

Company Name (As it will appear): 


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


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.

 

  

HOPEwithHEART
P.O. Box 354 • Waldwick, NJ 07463 • Phone (201) 264-6260 • Email



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