The cost is $150 (per person) or $600 (foursome).  Your reservation includes

driving range, locker room facilities, lunch, riding cart, golf, prizes and

after-golf festivities.

Please list all members of your golf party as well as their golf handicaps. 
 

   Name     Handicap Golf League/Country Club  
 

  1. ___________________________________________________________
 
 
  1. ___________________________________________________________
 
 
  1. ___________________________________________________________
 
 
  1. ___________________________________________________________ 
 
 

Please check one of the following:

_____ Dinner and Cocktails Only (6:00 p.m.)– $30 
 

____ Hole Sponsor – $100 –

      your name will be displayed on a 12” x 18” gold sign etched in green lettering 
 

_____ Pin Flag Sponsor - $150 –

      your name and golf outing design will be stitched on a

      white, green or gold flag that is yours to keep at the outing’s conclusion 
 

_____ Corporate Sponsor - $500 –

If you choose to be a Corporate Sponsor, please indicate your golf shirt size:

____ Large  ____ XL          ____Other 
 

Enclosed is payment for the following:

_____ Ursuline golf shirt  $27 (please be aware of July 21st deadline,

_____ Dinner and cocktails only $30

_____ Reservation @   $150 each

_____ Sponsorship @   $100, $150 or $500 
 

Total  _______________________ 
 

_____ check enclosed   

_____ bill me   

_____  charge   ____Mastercard ____VISA ____American Express  
 

Card#________/_________/__________/___________Customer Validation Code __ __ __ __            
 

Exp. Date____/_____                                   Signature________________________________ 
 

Company/individual name ______________________________________

(please print your name as you would like it to appear on your signage)

Authorized by ______________________________________________ 
 

Address __________________________________________________ 
 

City/State/Zip _____________________________________________ 
 

Phone (          ) ________________________________ 
 

If you plan to order a golf shirt, the order must accompany your reservation.