Fergie Jenkins Foundation Inc.
November Celebrity Charity Golf Classic Order Form
Type out all information, print page, and fax/ mail this in!
Ordering before July 4th will confirm your placement and a $100.00 tax receipt will be mailed.
After July 4th, entry will be opened to public & waiting list.
LINK TO NOVEMBER EVENT BROCHURE FOR 4th ANNUAL FERGIE JENKINS CELEBRITY GOLF CLASSIC AT WIGWAM GOLF RESORT & SPA , PHOENIX, ARIZONA , USA

Criteria
Please Type/Print!
Name
Company
Address 1
Address 2
City
State
Zip Code
Telephone
Fax

Payment For
Event Price Quantity Total
Sun. NOV..15 - practice round 10:00 a.m. - 2:00 p.m. free with  golf reg.
Gof - Mon. NOV.16 - Celebrity Event $425
Mon. - Banquet only with celebrities 6:00 p.m. $125.00
Meet & Greet -Wine and Cheese Event Only Sun. 7-9:00 p.m. $30.00
Hole Sponsorship (per Hole) $250.00
Corporate Sponsorship $1000.00
TOTAL  -

SHIRT SIZE SMALL MEDIUM LARGE X-LARGE XX-LARGE
PROVIDE PRIZE YES NO
FLIGHT   Shotgun start

Method of Payment
(Cheques payable to Fergie Jenkins Foundation Inc. c/o The Fergie Jenkins Foundation P.O. 664 Lewiston, NY 14092)
Card Number
Expiry Date
Signature


Team Players
Name
Phone