Contact and Registration

Register Today!

Complete the registration form to reserve spots for you and your teammates. For your convenience, two payment options are available: PayPal or check by mail.

Follow these easy steps:

1. Complete and submit registration form. Indicate your payment method and use comments section to identify the names of those who you wish to be paired with.

2. Complete payment method by choosing desired PayPal option or mail your check to address noted below.

You may also use this form to make a donation only or register as a non-golfing participant and join us for lunch. (Payment for lunch only on the day of event.)

(User hint: Use <tab> not <enter> to move from field to field)

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
State:
Zip Code:	(5 digits)
Contact Phone#:
Email:
Payment Method: (Please select one)	Paypal
	Check by mail
Participation Level: (Check all that apply)	Golfer
	Lunch Only
	Donation
Comments:

Payment Options

Pay for 1 Golfer

Pay for 2 Golfers

Pay for 3 Golfers

Pay for 4 Golfers

Lunch Only

Donation

Or 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

Registration and fees due July 18th 2010

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