Registration and Sponsorship Form

Name (as it should appear on recognition) Please enter valid data.

Company Name (as it should appear on recognition) Please enter valid data.

Contact Name Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Indicate the number of tickets you would like to purchase on the line below:

$1,000 - Lunch, reception, dinner, and greens fees for 1 foursome Please enter an integer (number).

$275 - Lunch, reception, dinner and greens fees for 1 person Please enter an integer (number).

$100 - Cocktails, dinner and auction ticket for 1 person Please enter an integer (number).

$100 - Lunch and tennis for 1 person Please enter an integer (number).

$150 - Lunch, reception, dinner and tennis for 1 person Please enter an integer (number).

$100 - I would like to sponsor an SSJ Priest, Sister or Teacher to attend the Dinner Please enter an integer (number).

I cannot attend but would like to make a donation in the amount of: Please enter valid data.

THANK YOU FOR YOUR GENEROUS SUPPORT
OF SAINTS SIMON & JUDE SCHOOL!