Golf Application

 

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Supporting and strengthening opportunities for the next generation of extraordinary people

It is imperative that each group of golfers provide a contact number in case of postponement.  In the event of inclement weather, the Steven Strobert Golf Classic should not be considered postponed/cancelled unless contact is made from a Steven Strobert Foundation representative or a notice of postponement/cancellation is posted on this web site.

Price $225 per golpher.

1) Please submit the information below, together with your payment via mail or on-line as follows:

please make checks payable to the "Steven Strobert Foundation, Inc."

 

Checks can be sent to:

 

   Steven Strobert Foundation, Inc.

   PO Box 2314

   Secaucus, NJ 07096-2314

or pay on-line using your credit card through PayPal (note: you can use your credit card without opening any PayPal account):

 

    

2) Please submit the following information for your group:

Please note: we can not hold your spot until we receive payment.

Number of Golfers: 

Each group of golfers should identify a primary contact golfer.  Please include any information which might be helpful for us to contact the primary contact golfer and as much information as possible for the other golfers in the group:

Golfer 1 (Primary Contact):
Name
Address
City
State
Zip
Home Ph
Work Ph
Cell
Pager
E-mail

 

     Shirt/Jacket size:

 

     Please add me to the following mailing lists:

               

Golfer 2 (if applicable):

 Name
Address
City
State
Zip
Phone
E-mail

 

   Shirt/Jacket size:

 

     Please add me to the following mailing lists:

               

 

 

Golfer 3 (if applicable):

 Name
Address
City
State
Zip
Phone
E-mail

 

    Shirt/Jacket size:

 

     Please add me to the following mailing lists:

               

Golfer 4 (if applicable):

 Name
Address
City
State
Zip
Phone
E-mail

 

  Shirt/Jacket size:

 

     Please add me to the following mailing lists:

               

 

For our records, do you plan on paying bycheck,on-line via PayPal, orundecided?

 

Comments: (e.g. please let us know if you would like to golf with others who have signed up separately)
 
If you prefer, please feel free to print this form and mail it to us. 

 

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Notice. Last modified: 10/30/08