Chamber Golf Scramble Step 1 of 4 25% NameThis field is for validation purposes and should be left unchanged.Contact DetailsParticipating Business(Required)Primary Contact Name(Required) First Last Primary Contact Email(Required) Enter Email Confirm Email Primary Contact Phone(Required)Participating Business Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please indicate if you would like to register a team, become a sponsor, or participate as both. Team Sponsor Both Sponsorship DetailsWill you be sponsoring a hole? Yes No Will you be providing a raffle item? Yes No Sponsoring a Hole DetailsSponsoring Business NameContact Name First Last Contact Email Contact PhoneHole Sponsor Quantity Price: $225.00 Quantity Your name & logo will be displayed at the hole. Includes two complimentary meals; extras available for purchase.Additional Meals Quantity Price: $15.00 Quantity Each package includes one meal per person.We will staff our booth. Yes No Unsure Option to staff the hole with a game or giveaways (not required).Preferred Hole NumberWe will provide give-a-way items. Yes No Raffle Item DetailsRaffle Prize & Estimated Value for Each ItemPrize donation for our raffle. We will coordinate pickup of items with winners if needed. If you choose to conduct your own prize drawing, you will be responsible for arranging pickup of the item. Event DetailsTeam NameRegistration TypeEagle Team Registration (4 Golfers)Birdie Registration (1 Golfer)QuantityPlease enter a number less than or equal to 4.Team #1Team #1 - Participant #1 First Last Team #1 - Participant #1 Enter Email Confirm Email Team #1 - Participant #2 First Last Team #1 - Participant #2 Enter Email Confirm Email Team #1 - Participant #3 First Last Team #1 - Participant #3 Enter Email Confirm Email Team #1 - Participant #4 First Last Team #1 - Participant #4 Enter Email Confirm Email Team #2Team #2 - Participant #1 First Last Team #2 - Participant #1 Enter Email Confirm Email Team #2 - Participant #2 First Last Team #2 - Participant #2 Enter Email Confirm Email Team #2 - Participant #3 First Last Team #2 - Participant #3 Enter Email Confirm Email Team #2 - Participant #4 First Last Team #2 - Participant #4 Enter Email Confirm Email Team #3Team #3 - Participant #1 First Last Team #3 - Participant #1 Enter Email Confirm Email Team #3 - Participant #2 First Last Team #3 - Participant #2 Enter Email Confirm Email Team #3 - Participant #3 First Last Team #3 - Participant #3 Enter Email Confirm Email Team #3 - Participant #4 First Last Team #3 - Participant #4 Enter Email Confirm Email Team #4Team #4 - Participant #1 First Last Team #4 - Participant #1 Enter Email Confirm Email Team #4 - Participant #2 First Last Team #4 - Participant #2 Enter Email Confirm Email Team #4 - Participant #3 First Last Team #4 - Participant #3 Enter Email Confirm Email Team #4 - Participant #4 First Last Team #4 - Participant #4 Enter Email Confirm Email Single Package Qty. 1Participant #1 Name First Last Participant #1 Email Enter Email Confirm Email Single Package Qty. 2Participant #1 Name First Last Participant #1 Email Enter Email Confirm Email Participant #2 Name First Last Participant #2 Email Enter Email Confirm Email Single Package Qty. 3Participant #1 Name First Last Participant #1 Email Enter Email Confirm Email Participant #2 Name First Last Participant #2 Email Enter Email Confirm Email Participant #3 Name First Last Participant #3 Email Enter Email Confirm Email Single Package Qty. 4Participant #1 Name First Last Participant #1 Email Enter Email Confirm Email Participant #2 Name First Last Participant #2 Email Enter Email Confirm Email Participant #3 Name First Last Participant #3 Email Enter Email Confirm Email Participant #4 Name First Last Participant #4 Email Enter Email Confirm Email Additional Golf Cart Rental Quantity Price: $65.00 Quantity Eagle Package comes with 2 golf carts included. Golf carts are not included with the Birdie Package.Additional Meals Quantity Price: $15.00 Quantity Each package includes one meal per person.GamesMulligan Quantity Price: $10.00 Quantity A second chance. (Limit 5 - 1 included in team package)Set of 10 Raffle Tickets Quantity Price: $10.00 Quantity Chance at prizes.Grenade Ball Quantity Price: $10.00 Quantity Throw the ball. (Limit 2 - 1 included in team package)4-Foot String Quantity Price: $10.00 Quantity Use string to move your ball closer to the hole—cut the length as you go! (Limit 5 - 1 included in team package)Total Payment Method Invoice (Due upon receipt) Check (Payable to Litchfield Chamber of Commerce) Credit Card (Contact our office - Please note that all credit card transactions are subject to a 3% processing fee.) Δ
