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 Player 1 First Last HandicapPlayer 2 First Last HandicapPlayer 3 First Last HandicapPlayer 4 First Last HandicapSponsorHole SponsorHole Sponsors 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). Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name 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 CommentsThis field is for validation purposes and should be left unchanged.