ALL PROCEEDS G O TO T H E ALZHEIMER’S A S S O C I AT I O N
TEAM SIGN-UP INFORMATION IVY HILL GOLF CLUB | FRIDAY, SEPTEMBER 22, 2023 CAPTAIN'S CHOICE | DOUBLE SHOTGUN START | $100/PLAYER
morning shotgun: 8am | afternoon shotgun: 1pm Price includes breakfast from Chick-fil-A, catered lunch, dinner, prizes, range balls, cart fee, two (2) drink tickets, and more! To register your team, complete the order form below and deliver it and full payment to Ivy Hill Golf Course (1148 Ivy Hill Drive, Forest, VA 24551), Ashley Plantation Golf Course (919 Greenfield St, Daleville, VA 24083), or Runk & Pratt Corporate Offices (1208 Perrowville Rd, Forest, VA 24551) by mail or drop off. Make checks out to “Pearls of Life Inc.” with “Alzheimer’s Golf Tournament” in the memo line. If you have any questions about the tournament, please call Tracy Newman at (434) 525-2680. For sponsorship questions, please contact Earl Prince at (434) 237-2268. Team Captain Name:_________________________________________ Please select one:
E-mail: ____________________________________________________
morning shotgun
afternoon shotgun
Phone: (_______)___________________________________________
TEAM MEMBER NAMES:
Address:___________________________________________________
Team Captain: _____________________________________
__________________________________________________________
Member #2: _______________________________________
City: ______________________________________________________
Member #3: _______________________________________
X________________________________________________________ Team Captain Signature
Member #4: _______________________________________
I would like to make an additional contribution to the Alzheimer’s Association. If checked, how much? $___________
I would like to purchase ___ additional lunch tickets for guests for the price of $25/person. (Lunch is included in event registration for participating golfers.) PLEASE NOTE: All proceeds collected will be donated to
Registration Cost $100/player =
$ ________.___
the Alzheimer’s Association on behalf of Team Runk &
Catered Lunch Guest Ticket ($25) x Number of Guests =
$ ________.___
Pratt. Donations accepted, even without event
Additional Donation to the Alzheimer’s Association =
$ ________.___
Total Amount Enclosed:
$ ________.___
registration. Make all checks out to “Pearls of Life Inc.” with “Alzheimer’s Golf Tournament” in the memo line.