::: Comcast Spectacor Foundation :: Flyers Charities :: REGISTRATION FORM - Mike Knuble Celebrity Golf Invitational presented by Dave & Buster’s

REGISTRATION FORM - Mike Knuble Celebrity Golf Invitational presented by Dave & Buster’s

*Contact Person:
*Phone
*E-mail
*Organization
*Street Address:
*City
State/Province
*Zip code
Website:
Sponsorship Level (check one): Gold, Silver, and Individual Packages are Sold Out.
Bronze Reception Only

Player 1 Name:
USGA Index:
Shirt Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 2 Name:
USGA Index:
Shirt Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 3 Name:
USGA Index:
Shirt Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 4 Name:
USGA Index:
Shirt Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

*Payment Type:
I would like to pay by credit card I would like to pay by personal check Please send me an invoice

For additional information: Phone: 215-389-9426 Fax: 215-389-9507 Email: MThomson@comcast-spectacor.com Website: www.comcastspectacorfoundation.org
Waiver: In consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release all organizers and sponsors of this event from all claims of liability of any kind arising out of my participation in this event.

Thank You!