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| Sponsorship Level |
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Presenting $5000 |
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Eagle $2500 |
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Birdie $1,750 |
| Lunch and Dinner Provided by Chili’s |
Company Team Name:
(TEAM 1)
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Team Member Name: 1)
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Mailing Address
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Team Member Name: 2)
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Mailing Address
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Team Member Name: 3)
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Mailing Address
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Team Member Name: 4)
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Mailing Address
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| If you are purchasing the ‘Presenting’ level, please completethe informationfor the 2nd team below. |
Company Team Name:
(TEAM 2)
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Team Member: 1)
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Mailing Address
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Team Member: 2)
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Mailing Address
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Team Member: 3)
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Mailing Address
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Team Member: 4)
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Mailing Address
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Primary Contact Name:
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Address:
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City:
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State:
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Zip:
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Phone:
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Email:
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Please submit the registration form, then you can proceed
to the payment process in the next step.
YOUR REGISTRATION IS NOT COMPLETE UNTIL
PAYMENT IS RECEIVED.
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