"Megan Hayward Golf Tournament Registration Form"

Please print this form, fill it out, and mail it with your check enclosed to:
The Megan Hayward Fund
c/o Paul T. DeRoche
30 Exchange Terrace
Providence, RI 02903
(401-621-6106)


Please make check payable to:
The Megan Hayward Fund

Name: _________________________________________________________________
Company: _________________________________________________________________
Address: _________________________________________________________________
Phone: _________________________________________________________________

My foursome consists of:   (If you do not have a foursome, a foursome will be assigned)

1)   __________________________________________________________________________

2)   __________________________________________________________________________

3)   __________________________________________________________________________

4)   __________________________________________________________________________


Sponsorship Opportunities

Tee Sponsorship   ($100.00 per co.) Yes_________ No_________
Hole Sponsorship   (exclusive $500.00) Yes_________ No_________
Special Cart Sponsorship - $4,500.00 Package (includes: 8 x 10 company sign on 65 carts and a free foursome) Yes_________ No_________
Gold Sponsorship - $3,000.00 Package (includes: two foursomes, tee sign, recognition, and two non-player dinners) Yes_________ No_________
Silver Sponsorship - $1,500.00 Package (includes: one foursome, tee sign, recognition, and two non-player dinners) Yes_________ No_________


ENCLOSED IS A CHECK FOR $_________________COVERING THE FOLLOWING:

_________Golf ($150) lunch and dinner included

_________Dinner Only ($40)

_________Tee Sponsorship ($100) your tee sign will be prominently displayed

_________Hole Sponsorship Exclusive ($500)

_________Special Cart Sponsorship ($4,500)

_________Gold Sponsorship ($3,000)

_________Silver Sponsorship ($1,500)


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