Scholarship Golf Classic Registration Form

Golfer Registration

You may fill out this secure form and submit it here; or you may print it, fill it out and fax it, or mail it, along with your payment to the address at the bottom of the form.

The deadline to register is August 22, 2013.

On tournament day, pre-registered golfers may sign-in beginning at 9 a.m. The shotgun start will be at 10 a.m.

Golfers and sponsors: registration information for all golfers in your group is required, please:

Player 1:
Company:
Address:
City:
State/province:
Postal code:
Daytime phone number:
E-mail address:
Gender: Male
Female
Handicap
   
Player 2:
Daytime phone number:
E-mail address:
Gender: Male
Female
Handicap
   
Player 3:
Daytime phone number:
E-mail address:
Gender: Male
Female
Handicap
   
Player 4:
Daytime phone number:
E-mail address:
Gender: Male
Female
Handicap
   
Player 5:
Daytime phone number:
E-mail address:
Handicap
Gender: Male
Female
   
Player 6:
Daytime phone number:
E-mail address:
Gender: Male
Female
Handicap



If you are an individual golfer, and not a sponsor, your registration is nearly finished. Please enter Payment Information below and then click Submit Registration.

If you are a sponsor, please continue filling out the "Sponsor Pledge" section as well and click Submit Registration at the bottom of this form after your registration and pledge are complete.

Sponsor Pledge

Sponsor Name:
Contact Name:
Address:
Phone number:
City:
State/province:
Postal code:
   
Yes, I will support the scholarship program at SUNY Potsdam and I can play in the golf tournament.
No, I cannot play in the tournament, but I would like to make a gift to the scholarship program.

I choose the following level of support:
Summit Sponsor $25,000
Mountain Sponsor $12,000
Navigator Sponsor $8,000
Adirondack Sponsor $4,000
Algonquin Peak Sponsor $2,000
Iroquois Peak Sponsor $1,000
Flag Sponsor $350
Tee Sponsor $150
Premier gift in Kind
I would like to donate a silent auction gift (value: $50 or more)

For recognition purposes, our sponsor name should read:


Payment (information required):

  • Golfers will be charged $125 per golfer
  • Sponsors will be charged according to the level of support you chose above
Sponsorship Pledge $
Golfer Registration $
Total Amount Due $

Name on Credit Card

E-mail address for receipt:


Read the online giving and refund policy.

Mail printed registrations to:
Potsdam College Foundation
Attention: Ellen Nesbitt
44 Pierrepont Avenue
Potsdam, NY 13676

Call with information: (315) 267-3403
Fax completed form to: (315) 267-3172

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