RIS Charity Golf Challenge Registration Charity Golf Challenge Register your group or as an individual player for the August 20, 2018 Rein in Sarcoma Charity Golf Challenge! Thank you for your support to increase awareness of sarcoma cancers, fund research to improve outcomes, and support sarcoma patients and their families! Registration Contact First Name Last Name Phone Preferred PhonePlease select... Home Mobile Work Other Email Preferred EmailPlease select... Personal Work Alternate Address City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Communication preferenceYes, I would like to receive Rein In Sarcoma updates and event news Sarcoma Patient Relationship I am a:Please select... Community Supporter Sarcoma Patient/Survivor Family or friend of a deceased Sarcoma patient Family or friend of a Sarcoma Patient/Survivor Date of diagnosis RelationshipPlease select... Spouse/Partner Parent Child Sibling Other Relative Friend Golfers Number of golfers (yourself included):Please select... 0 1 2 3 4 Registration fee: $700/foursome, $175/individual. You do not need to reenter your own contact information. Player 2 First Name Last Name Email Phone Player 3 First Name Last Name Email Phone Player 4 First Name Last Name Email Phone Sponsorships Sponsorship OptionsNoneLevel 1: $5,000 8 Golfers plus: Hole Sponsor, Signage at registration, Signage on all dinner tables, Announcement before golf and at dinnerLevel 2: $2,500 4 Golfers plus: Hole Sponsor, Signage at Registration, Signage at dinner, AnnouncementsLevel 3: $1,500 4 Golfers plus: Hole Sponsor, Signage Sponsor Name: Phone Contact for Art Work/Logo: Payment Registration Fee: Sponsorship Fee: ________________________ Total Cost: Name on Credit Card Billing Addresssame as registrant aboveuse different billing address Address Line 1 City State Zip Code Address City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Card Number MM YY Code Need assistance with this form? Donor Privacy: Rein in Sarcoma values your privacy as a patient, supporter or donor. To view our donor privacy policy, click here.
