Name* First Last CompanyAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person First Last Email* Phone*Registration Type Individual Team Sponsor J Christopher's Staff staff registrationJ Christopher's Manager Registration Manager Golf Manager Dinner and Cocktails Individual Player Price: $175.00 Number of PlayersTeam (4 Players) Price: $600.00 Quantity: Premier Sponsors Main Event Sponsor - Includes 4 Free Players, company logo on all tournament materials and Premier Logo Signage Dinner & Awards Sponsor - Includes 4 Free Players and Premier Logo Signage Cocktail Sponsor - Includes 4 Free Players and Logo Signage Beer Cart Sponsor - Includes 4 Free Players Player 1 First Last HandicapPlayer 2 First Last HandicapPlayer 3 First Last HandicapPlayer 4 First Last HandicapSponsorHole SponsorHole Sponsors Putting Contest Closest to the Pin Longest Drive Hole Sponsors (each) Swag SponsorSwag Sponsor Corporate “Swag Bag” Sponsors Want to get your company’s name in front of the entire group? Consider a “Swag” Sponsorship. You provide a “golf-themed” giveaway for each player (utilizing your company logo) and we will add it to the “Swag Bag” they receive at check-in!Other Opportunities I want to donate a gift for the Raffle I can’t make it, but I still want to donate to Make-A-Wish Donation Amount Description and Fair Market Value of Donation ExtrasCocktails & Dinner (for any non golfers who wish to attend) Price: $35.00 Quantity: Mulligan Package Price: $25.00 Quantity: 2 Mulligans, Red Tee Shot, 1 Ball Toss, 1 Raffle Ticket (per player)Total $0.00 Pay Via*Credit Card (contact Taylor Boltz to pay via check)All Make-A-Wish sponsorships and donations are tax deductible, paperwork will be mailed upon receipt of payment (registration fees not included). Please Make All Checks Payable to: J. Christopher's Mail Payments to: J. Christopher's Attn: Make-A-Wish Golf Outing 1275 Powers Ferry Road, Suite 110-120 Marietta, GA 30067 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.