Contact and Registration

Registration Form

Sign up as a single or put together your own 4-some. Add other members of your team in the comment section so we will be sure to pair you correctly.

You can also use this form to register as a non-golfing participant
or to just make a donation so we can add you as a "Friend of Troy" and properly thank you for your support.

First Name:

Last Name:

Address Street 1:

Address Street 2:

City:

Zip Code: (5 digits)

State:

Daytime Phone:

Evening Phone:

Email:

Comments:

Make checks payable to:
Troy Hannasch Supplemental Needs Trust*
and mail to:
Northwest Lighting Systems
9405 Holy St. NW Suite J
Coon Rapids, MN 55433

Or you can print this page and fax it to 763-544-6543

Registration deadline is July 7th 2009
Registration fees are due July 11th 2009

Hole sponsorships are available for $100
(if you would like to, or know someone who would like to, sponsor a hole please contact John Hannasch AT 612-616-7722)

THANKS FOR YOUR SUPPORT!!

*This is not a tax deductible contribution,
100% of all proceeds will go directly to Troy's Supplemental Needs Trust