2009 Hospice of the Rapidan Golf Invitational
Registration Form

Name(s):                                                                               

Company:                                                                             

Address:                                                                                

Telephone:                                                                            

Email:                                                                                    

I/We are delighted to participate in the 2009 Hospice of the Rapidan Golf Invitational as follows:

                Platinum Corporate Sponsor   ($5,000)

                Gold Corporate Sponsor   ($2,500)

                Exclusive Golf Cart Sponsor ($2,500)

                Silver Sponsor   ($1,200)

                Hospice Benefactor   ($800)

                Lions Patron   ($400)

                Hole Sponsor   ($200)

                Individual Golfer   ($150)

                Program Sponsor   ($400)

q  I’m sorry I can’t join you for golf  but want to support Hospice of the Rapidan with a contribution of $_________.

Golfer Information

Name                                                         Hdcp

1.                                                                                            

2.                                                                                            

3.                                                                                            

4                                                                                              
 

Send Registration & Payment To:

Hospice of the Rapidan

Annual Golf Tournament

P. O. Box 1715

Culpeper, VA   22701

Golfer Registration Deadline:  June 5th
Sponsor Registration Deadline:  May 20th

Check should be payable to Hospice of the Rapidan 

Payment must be enclosed with your Registration Form to ensure your reservation.