Annual BCR Golf & Spa Classic

Company Name:     Contact Name:  
Address:  
Email:
(Required)
    City:  
State:     Zip  
Daytime Phone:     Fax:  

$185 – Individual
Name:   Shirt Size: Gender:   Email:
 
$700 – Foursome
Name:   Shirt Size: Gender:   Email:
Name:   Shirt Size: Gender:   Email:
Name:   Shirt Size: Gender:   Email:
Name:   Shirt Size: Gender:   Email:
 
$495 – Hole Sponsor
 
$1400 – Partner Sponsor
 

Package #1

2 Raffle Tickets
5 Course Game Tickets
1 Cork for Cork Pull
$80 Each

Quantity Desired:

    

Package #2

5 Raffle Tickets
10 Course Game Tickets
2 Cork for Cork Pull
$160 Each

Quantity Desired:

 
      Total Due:          

Pay by Credit/Debit Card
Or Pay by Check payable to American Family Children's Hospital
Forward Checks To:
Rick Duarte
Sundara Inn & Spa
920 Canyon Road, Wisconsin Dells, WI 53965
 
Special Suites