Registration Form

Mail this form and a check to the address below…

JRT’s Fight “FORE” MS

591 Riverside Drive

Prestonsburg, KY 41653

Company/Team Name: ______

Contact Person: ______

Address: ______

City, State, Zip: ______

Phone: ______

E-mail: ______

Please check your level of sponsorship below.

Hole in One / $2,500 / Company name on gift, hole signage*,
team (1) registration, recognition at start of play and lunch
Eagle / $1,500 / lunch sponsor, hole signage*, team (1) registration, recognition at start of play and lunch
Birdie / $1,000 / Company name on tee prize bags, hole signage*, team (1) registration, recognition at start of play and lunch
Par / $700 / Team, hole signage*
Team Only / $500 / Team only
Hole Sponsor / $200 / Hole signage* only
Individual / $125 / 1 player
Contribution / $______/ any contributions accepted

*Hole Sponsors!!!! Please write the information you would like to have on your sign below or attach a logo.

______

______

______

Total: $______

Please write checks to: Fight “FORE” MS