First Annual Rich Pires Memorial Scholarship Tournament ~ 6/15/2024

Saturday, June 15th, 2024

Timberlin Golf Club
330 Southington Rd
Berlin, CT 06037

Dinner at the Timberlin Golf Club

Please register by June 10th, 2024

(* Denotes Required Fields)

Golfer 1
Name: *
Phone Number: *
Address: *
Email: *
Golfer 2
Name:
Phone Number:
Address:
Email:
Golfer 3
Name:
Phone Number:
Address:
Email:
Golfer 4
Name:
Phone Number:
Address:
Email:
Golfer Payment
Golfers: *	Cost: $160.00 Quantity:
Tee and Sponsorship Opportunities
Tee Sign Sponsor:	Cost: $100.00 Quantity:
Tee Sign Sponsor Company Name:
Raffle Prize Donation – Company Name:
Lunch Sponsor:	Cost: $250.00 Quantity:
Dinner Sponsor:	Cost: $500.00 Quantity:
Payment Information
Amount: *	$0.00
Please select your payment method:	Credit Card Cash

Name on Card: *
Billing Email: *