Golf Scramble Registration

Registration is for groups of 4 golfers, so please form a team prior to registration.

Donation Amount:

$ 600

Plus an additional $18.38 to cover gateway fees.

Team Name

Player 1 Name

Player 2 Name

Player 3 Name

Player 4 Name

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Who's giving today?

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Personal Info

Title *

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Comment

Select Payment Method

Donate with Credit Card (via PayPal)

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donate with Stripe - Credit Card
Donate with Offline Donation (if you would like to present a check instead of paying online)

Here's what you're about to donate:

Donation Summary
Payment Amount	$600
Giving Frequency	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	$18.38
Donation Total	$618.38

Donation Total: $618.38

$600.00 donation plus $18.38 to help cover fees.