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Wayne McClain Pipeline Foundation
Continuing The Legacy
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Golf Outing Registration Form
Donor Company Name
Donor Name
Questions or Comment
Sponsorship Levels
Gold $10,000
Silver $5,000
Bronze $2,500
Car Sponsor $100
Beverage Cart $1,500
Exclusive Hole Sponsor $250
Shared Hole Sponsor $100
Par 3 Sponsor $750
4-man Team $600 (early bird $500)
Individual Player $150 (early bird $125)
*Single (1) Game Packet $55
*Team (4) Game Packet $200
Putting Contest $500 + winning prize
*game packet includes 3-foot string, putting contest, (5) raffle tickets, 2 mulligans & Par 3 poker
Total Amount Due
Golf Team/Individual Player
Player name
Player address
Player email address
Player Handicap
Player 2 name
Player 2 address
Player 2 email address
Player 2 Handicap
Player 3 name
Player 3 address
Player 3 email address
Player 3 Handicap
Player 4 name
Player 4 address
Player 4 email address
Player 4 Handicap
How are you paying
Cash (Must be delivered in person)
Check (must be mailed or delivered in person
Credit/Debit Card (click Donate Button
Mail Checks or Money Orders to: Wayne McClain Pipeline Foundation, P.O. Box 3022, Champaign Il. 61826 Click Donate Button below to pay online.
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