ALL PROCEEDS WILL BE DONATED TO FOOD BANK FOR THE HEARTLAND You must have JavaScript enabled to use this form. Your Name Your Organization Your Email Your Email Confirm Your Email Phone Number Select Your Registration INDIVIDUAL GOLFER$125 4-PERSON TEAM$500 Includes tournament registration(s), complimentary lunch(es), event polo(s), and drink tickets.Event registrations must be submitted by Wednesday, September 16th at 5:00 P.M. Name Polo Style Polo Style?Men'sWomen's Polo Size Polo Size?XSSMLLTXLXLT2XL2XLT3XL3XLT4XL4XLT Lunch Entrée Lunch Entrée?BBQ Burnt EndsBBQ Pulled PorkChicken Served with baked beans and chips. Putting Contest Entries Enter # of entries1 Entry = 2 Putts for $5Prize Value = $350 Team Name Team Member #1 Name Please enter their name. Team Member #1 Polo Style Their Polo Style?Men'sWomen's Team Member #1 Polo Size Their Polo Size?XSSMLLTXLXLT2XL2XLT3XL3XLT4XL4XLT Team Member #1 Lunch Entrée Their Lunch Entrée?BBQ Burnt EndsBBQ Pulled PorkChicken Served with baked beans and chips. Putting Contest Entries Enter # of entries1 Entry = 2 Putts for $5Prize Value = $350 Team Member #2 Name Please enter their name. Team Member #2 Polo Style Their Polo Style?Men'sWomen's Team Member #2 Polo Size Their Polo Size?XSSMLLTXLXLT2XL2XLT3XL3XLT4XL4XLT Team Member #2 Lunch Entrée Their Lunch Entrée?BBQ Burnt EndsBBQ Pulled PorkChicken Served with baked beans and chips. Putting Contest Entries Enter # of entries1 Entry = 2 Putts for $5Prize Value = $350 Team Member #3 Name Please enter their name. Team Member #3 Polo Style Their Polo Style?Men'sWomen's Team Member #3 Polo Size Their Polo Size?XSSMLLTXLXLT2XL2XLT3XL3XLT4XL4XLT Team Member #3 Lunch Entrée Their Lunch Entrée?BBQ Burnt EndsBBQ Pulled PorkChicken Served with baked beans and chips. Putting Contest Entries Enter # of entries1 Entry = 2 Putts for $5Prize Value = $350 Team Member #4 Name Team Member #4 Polo Style Their Polo Style?Men'sWomen's Team Member #4 Polo Size Their Polo Size?XSSMLLTXLXLT2XL2XLT3XL3XLT4XL4XLT Team Member #4 Lunch Entrée Their Lunch Entrée?BBQ Burnt EndsBBQ Pulled PorkChicken Served with baked beans and chips. Putting Contest Entries Enter # of entries1 Entry = 2 Putts for $5Prize Value = $350 Select Your Sponsorship(s) GOLF CART SPONSOR$100 GOLF HOLE SPONSOR$150 SCORING APP SPONSOR$250 BEVERAGE CART SPONSOR$500 CLUBHOUSE BAR SPONSOR$750 COMPLIMENTARY CIGARS SPONSOR$1,000 GOODIE BAG SPONSOR$1,000 DRIVING RANGE/ PRACTICE GREEN SPONSOR$1,000 WELCOME + REFRESHMENT SPONSOR$1,000 AWARD SPONSOR$1,500 SIGNAGE SPONSOR$1,500 POLO SPONSOR$2,000 UNCH SPONSOR$2,000 CLASSIC SPONSOR$3,500 PLATINUM SPONSOR$5,500 Click here to see what's included. If you'd like to make an additional event donation to benefit Food Bank for the Heartland, please enter your donation amount below. Enter Billing Address Name Company Email Phone Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code An invoice will be generated for your selection(s) and must be paid by 9-16-26. Payment Method CheckPlease make payable to: Electronic Contracting Company Credit CardMastercard, VISA accepted. 3% processing fee will be additionally applied. ECC EmployeeCheck this box if you're an ECC Employee. Invoice Communication EmailAn invoice will be emailed by our Accounts Receivable Specialist. MailAn invoice will be mailed to submitted billing address. Leave this field blank
