Contact Information:

Company/Individual Name: 

  Member              Non-Member

Point of Contact:    Phone: 

Contact Email: 

Address: 

City:    State:    Zip: 

Team Registration:

1st Golfer:    Phone: 

2nd Golfer:    Phone: 

3rd Golfer:    Phone: 

4th Golfer:    Phone: 

Hole Sponsorship:

1st Hole Preference (1-18): 

2nd Hole Preference (1-18): 

3rd Hole Preference (1-18): 

What we will be doing at our hole: 

We are donating the following prizes:

Total Cost:

Team Sponsorship (Chamber Member - $160.00/team; Non-member - $200/team):  $ .00

Hole Sponsorship ($100 per hole): $ .00

Total Cost:  $ .00

Payment Options:

Mail check payable to:  Parke County Chamber of Commerce
                                    105 N. Market Street
                                    Rockville, IN  47872

Or stop by the office Tuesday - Thursday, between 10:00am - 2:00pm

 Note:  Registered teams that do not show up will be billed by the Chamber.  This is necessary because of commitments we make based on registrations.