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REGISTRATION FORMPlease register early! First come. First serve!
Registration Deadline: Friday, August 13, 2021In order to be registered for this tournament your form and payment MUST be directed to:
Coborn’s, Inc. | 1921 Coborn Blvd | St. Cloud, MN 56301karen.dwyer@cobornsinc.com | Questions: 320-203-6240
PROCEEDS BENEFIT
THE COBORN FAMILY FOUNDATION
Organization _________________________________________________________________
Address____________________________________________________________________
City/State/Zip________________________________________________________________
Contact Person _______________________________ Phone __________________________
Email Address (REQUIRED) ______________________________________________________
● 40 tickets - $100 You may purchase additional raffle tickets on the course.
$________ Total Payment
Security Code
● Platinum $10,000 Includes: • Banner
• Hole Sponsor • Prize Package
● Gold $7,500 Includes: • Banner
• Hole Sponsor • Prize Package
● Silver $4,000 Includes: • Hole Sponsor
• Prize Package
● Bronze $3,000 Includes: • Prize Package
● Individual $750 Includes: • Golf Fee
• Prize Package
● I cannot attend, but please accept my charitable gift of $__________.
Join us at Pebble Creek Golf Club in Becker, MN
Sponsorship
Level:
raffle tickets:
TEAM(foursome)
● Check enclosed - Make check payable to Coborn’s, Inc.
● Credit Card
Name on card__________________________________
Number _____________________________________
Expiration Date_________________________________ ● Visa ● Mastercard ● Discover ● American Express
Signature_______________________________________
● Other ________________________________________
2021GOTGInviteRgstrtnFrm051621
Name of Team Sponsor _____________________
Email contact foryour team (REQUIRED) ____________________
1) Golfer _________________________________
Organization_____________________________
2) Golfer _________________________________
Organization_____________________________
3) Golfer _________________________________
Organization_____________________________
4) Golfer _________________________________
Organization____________________________ Do you need to rent golf clubs? Please note number of sets required. _____________
Right hand____________ Left hand___________
4 person Scramble Monday, September 13, 2021
9:30-10:45 - Registration
10:45 - Welcome, golf rules, etiquette
11:00 - Shotgun Start
4:00-6:30 - Social, raffle, food and program
20 years of giving!celebrating
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