Sunday, April 18, 2010
1:00 PM Shotgun Start
LBBA Golf Classic Registration
* indicates a requied input and must be entered before this form can be submitted. All fields are not be requied, but please fill out the registration form as complete as possible. This will aid us in confirming your reservations.
*Your First Name:
*Your Last Name:
Title:
Company:
*Address:
*City: *State: *Zip Code:
E-Mail:
*Phone:
Player Packages/Sponsorships:
Select One Single Player - $100.00 Twosome - $200.00 Threesome - $300.00 Foursome - $400.00 Trojan Sponsor - $2,000 Gold Sponsor - $1,000 Silver Sponsor - $500 Parent Sponsor - $50
Donation/Contribution:
Cash or Raffle Item
If Registering Multiple Players, Please Provide Player Names & Additional Information:
Player 1:
Player 2:
Player 3:
Player 4:
Payment Option:
Select Payment Method Check by Mail Credit Card Now Invoice Me - (LBBA Members Only)
Credit Card Type:
Choose One American Express Visa Master Card Discover
Account Number:
We do not accept Credit Card Numbers on this form as this is a non-secure site. Forms will be made available day of event for credit card payments.
Please do not give your number to anyone who may call you posing as a LBBA representative. It is not the policy of LBBA to accept card numbers over the phone or by email. The Golf Tournament Chairman will contact you to confirm that payment will be made the day of the tournament.
Please mail payment to:
John Leiti
LBBA - Golf
PO BOX 670253
Marietta, GA 30066
Make checks payable to: LBBA and in the FOR: write "LBBA-Golf"
Comments - Questions - Special Requests:
Maintain the Confirmation Receipt for your Records after Submitting. If your receive an Error after clicking on "Submit", Please Contact John Leiti @ (678) 644-3617 or golf@lbba.org
