Name of primary contact person/golfer 1 *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox *

What would you like to purchase?

Single Golfer $175.00

Foursome $700.00

Course Game Bracelet (s) $20.00 each

Just the after Golf Activities, includes happy hour, dinner, raffle and live auction $75.00

Hole Sponsorship $275.00 each

Golfer 2

First Name

Last Name

Golfer 3

First Name

Last Name

Golfer 4

First Name

Last Name

Checkbox *

Please let us know how you'll submit payment:

Mail a check to Spina Bifida Wisconsin (address at bottom of page) by May 23, 2024

Pay via check at event check-in

Pay via credit card at event check-in

Please contact me about payment