DIG, PAVE, AND DRIVE TO THE TOP (GOLF)
SPONSOR REGISTRATION FORM
MARCH 4, 2021, 3-6 PM, BROOKLYN CENTER
Contact Name ________________________________________________________________________________________________________
Company _____________________________________________________________________________________________________________
Address _______________________________________________________________________________________________________________
City ___________________________________________________________________________________________________________________
State __________________________________________________ Zip ___________________________________________________________
Email _________________________________________________________________________________________________________________
Phone ________________________________________________________________________________________________________________
GOLF & SPONSOR OPPORTUNITIES
r “Road to Success” Sponsorship: $1,000 per Golf Bay #_________ x $1,000 = $ __________________________________
r Drink Ticket Sponsorship: $500 each (4 available) #_________ x $500 = $ __________________________________
r Food Buet Sponsorship: $500 each (5 available) #_________ x $500 = $ __________________________________
TOTAL: $ __________________________________
LIST NAMES OF ALL GOLFERS
Name: Phone: Email:
1. ________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________________________________
4. ________________________________________________________________________________________________________________________________
PAYMENT INFORMATION:
TOTAL ENCLOSED (USD FUNDS) $: _____________
Full payment is required for registration fees by check or credit card. All credit card fields are required.
Method of Payment: r Check enclosed, payable to ‘MUCA’ r Visa r Mastercard r American Express
Card Number______________________________________Expiration Date ___________ Security Code _________________
Cardholder Name _____________________________________________________________________________________________
Phone _________________________________________________________________________________________________________
Cardholder Signature _________________________________________________________________________________________
r Billing address is same as above r Billing address is:
Address _______________________________________________________________________________________________________
City___________________________________________________State___________ Zip _____________________________________
RETURN THIS FORM WITH YOUR PAYMENT TO MUCA:
1000 Westgate Drive, Suite 252, St. Paul, MN 55114 or Fax: (651) 290-2266
**Due to PCI Compliance, please do NOT provide any credit card information via email. Call or fax it in only**
Cancellation Policy: Cancellations received through February 19, 2021 receive a 50% refund. No refunds for
cancellations after February 19.
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