Hampstead Civic Club Golf Tournament
Entry/Sponsor Form

Name: ______________________________________________
Address: _____________________________________________
City: ____________________ State:_________ Zip: _________
  Tel: ________________ Email: __________________________


  • Dinner only $30.00                                                                                 
  • Individual Entry $125.00                                                                      
  • Team Entry $460.00                                                                                
  • Major Sponsorship $550.00 (includes team entry)                            
  • Sponsorship of Hole or Green $50.00                                                 
  • Donation of Prizes or Gifts                                                                    


Other Team members:                                                                  

Name            email                                                                                        
_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________
                                                                                 

Sorry, I cannot attend. Please accept my donation of $________           

Total Amount Enclosed $________________                                          

        

Please make checks payable to:     “Hampstead Civic Club”
Mail to: Hampstead Civic Club Golf Tournament       
41 Nicole Circle
E. Hampstead, NH 03826

Contact: Ken Fure (603) 339-1116