Pagnozzi Charities :: Ultimate Tailgate

Application Form

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Company or Sponsor Name:

Friday, September 16, 2011

Golf Tournament at Fayetteville Country Club

A.M. Registration - 7:00 a.m.

Shot Gun Start - 8:00 a.m.

P.M. Registration - 12:00 p.m.	Shot Gun Start - 1:00 p.m.

Select Entry - All entry fees include: lunch, mulligans, tee buster and putting contest

Foursome Entry Fee w/ Company Tee Sign	$ 1,100.00	Includes eight ultimate tailgate tickets

Foursome Entry Fee	$ 900.00	Includes four ultimate tailgate tickets

Individual Entry Fee	$ 225.00	Includes one ultimate tailgate ticket

Golf Team Info

Team Captain:
Team Member:
Team Member:
Team Member:

Team Captain Mailing/Billing Information

Address:
City:
State:
Zip:

Phone:
Fax:
Email:

Ultimate Tailgate & Sports Memorabilia Auction

Friday, September 16th @ 7 PM | Fayetteville Town Center | Fayetteville, AR
Doors will open at 7pm with live entertainment by Boom Kinetic. Buying a table guarantees reserved seating.

I would like to purchase:

Ultimate tailgate tickets @ $ 35 each

Total: $

Cocktail tables @ $ 200 each

Premier tables (seat 10) @ $ 500 each

Payment Options:

Invoice

PayPal

Cash

Check enclosed

* Please make checks payable to PAGNOZZI CHARITIES INC.
Check Number:
Account Name:
Account Number:
Bank Name:

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Pagnozzi Charities Inc.
2828 Millennium Pl., Ste.1 Fayetteville, AR 72703
Phone: 479.443.2550 Fax: 479.587.9142
kelley@pagnozzicharities.org www.pagnozzicharities.org