Items marked bold are required fields.

Registration Information
Limited Field of 72 foursomes (288 golfers) invited to participate at the Country Club of St. Albans. Includes lunch, refreshments, dinner, prizes, auction and fun.

Team Leader Contact Information
First Name:
Last Name:
Postal Code:

Player Information:
Player 1

Player 3

Player 2

Player 4

Please check a Sponsorship level:
Medal of Honor Sponsor - $20,000
Navy Cross Sponsor - $15,000
Silver Star Sponsor - $10,000
Bronze Star Sponsor - $5,000
Individual Golfer - $375
Hole Sponsor - $500
Dinner Only - $100
Lunch Only - $50
"In-Kind" Sponsors
Awards Dinner Sponsor - $10,000
Lunch Sponsor - $5,000
Gift Sponsor - $3,500
Cocktail Sponsor - $2,500
Beverage Cart Sponsor - $1,500
Donation: $
Raffle Tickets: @ $100 each.

Amount: $
Payment option: Pay by Credit Card
Pay by check

Paying by check

After completing the above information, FIRST please print this page.
THEN press the SUBMIT button and enclose a COPY of the printout with a check

Payable To:
Missouri Friends of Injured Marines Golf Outing

Mail to:
C/O Event Management Direct
PO Box 220187 St. Louis, MO 63122

Card Type:
Card Number:   (No Dashes or Spaces)
CVV2: CVV2 Information
Expiration Date: mm/yyyy

Thank you for your contribution.