The Laura K. Laughlin L6 Brain Injury Foundation

The L6 Golf Scramble

Please fill out the form below to register for The L6 Golf Scramble. All golf sponsorships will be featured in our event program, in signs at the event, during the event announcements and on our website.

First Name *

Last Name *

Billing Address *

City *

State *

Zip Code *

Daytime Phone *

Evening Phone

Email Address *

Method of Payment

DINNER ONLY (NO GOLF) $50.00 per person

Team Members (up to four men/women)

Team Member #1 ($200)

Team Member #2 ($200)

Team Member #3 ($200)

Team Member #4 ($200)

Hole Sponsorship:	Hole in One $200.00 Longest Drive $200.00 Closest to the Pin $200.00

Name to appear on sign

Golf Sponsorships:	HOLE SPONSOR $300.00 PAR SPONSOR = foursome and hole sponsor $1000.00 BIRDIE SPONSOR = two foursomes & event sponsor signage $2000.00 EAGLE SPONSOR = three foursomes & headline event sponsor $5000.00

Name to appear in print

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