Golf Tournament Registration Form
		Payment is due by March 30th.
		Payable to: Love Helps, inc., P.O. Box 669, Madison, TN 37116
		Fed. ID: 62-1600206
By completing and submitting this form, you are committing to participate in our event and make payment as you indicate below. If you have any questions, please contact us. NOTE: all fields in Bold or marked with (*) must be filled in prior to submitting form.
Company:*
		Title	First Name	Last Name		Suffix
Contact:		Mr. Ms. Mrs. Dr. *	*	*
Contact Person's Mailing Address & Phone Information
P.O. Box or Street Address including Suite/Apt. No.
*
City: *				State: *	Zip: *
		area code		phone number
Wk Phone
Wk Fax
Hm Phone
Contact Person's email: *
Sponsorship Level, if any				Sponsorship:		$0 $5,000 $2,500 $1,000 $500 $250 $100
Players/Teams in addition to sponsorship above
Number of foursomes at $1,750 each:					Team Amt.:
Number of individual players at $500 each:					Ind. Amt.:
		Total amount including sponsorship:				*
Comments and/or In-kind Description:
We will contact you in April/May to confirm and provide more details. You can also print this form out BEFORE submitting it to keep a copy for your records. BEFORE submitting, check that all fields with a (*) have been filled in
Click to clear all:				Click to send:
Thank you for registering! Please contact us if you have any questions.