Jay Abraham Golf Tournament
9th ANNUAL Jay Abraham Scholarship Golf Tournament
October 1st 2011 at Fonte Vedra Golf Club
Presented by the Jacksonville Seminole Club
CAPTAIN’S CHOICE FORMAT
SHOTGUN START 1:00 PM PATRON CHECK IN 12:00 PM PLAYER CHECK IN 12:00PM
AWARDS, COOKOUT, AND PRIZES IMMEDIATELY FOLLOWING GOLF
NAME: ___________________________________________ PHONE:___________________________
ADDRESS: ___________________________________________________________________________
Street City State Zip
HANDICAP: ________ HOME GOLF COURSE:___________________________________________
LEVEL: Benefactor Patron Individual Hole Sponsor Wine Tasting ONLY
NAME ON SIGNAGE:__________________________________________________________________
PLAYING PARTNER: ____________________________________________ HANDICAP: _________
PLAYING PARTNER: ____________________________________________ HANDICAP: _________
PLAYING PARTNER: ____________________________________________ HANDICAP: _________
CHECK AMT: _____________ CREDIT CARD AMOUNT: _______________EXP DATE: ________
VISA/MC# _____________________ SUPPLIER CHARGEBACK (Y OR NA) _______
SIGNATURE: ____________________________
NUMBER ATTENDING COOKOUT (ADDITIONAL TICKETS - $10 PER PERSON) ___________
I CAN DONATE THE FOLLOWING FOR THE AUCTION:__________________________________________________________________________________________________________________________________________________________________
Benefactor: $1500 – Includes golf for four, major signage, box lunch, (10) tickets to the cookout and awards Ceremony, (10) tickets for the Wine Tasting 9/30, beverages, gift, goody bag and recognition on all literature.
Patron: $250 - Includes golf for one, signage, (2) tickets to cookout and (2) tickets to the wine tasting, gift, beverages, goody bag and recognition on Patron Page
Individual: $125 - Includes golf, box lunch, (1) ticket to the cookout and awards ceremony, gift bag and beverages.
Hole Sponsor: $100 - Includes signage on hole
Wine Tasting Only: $40 Donation per Person to Attend
PLEASE RETURN THIS FORM NO LATER THAN FRIDAY, August 30th , 2011
PLEASE MAKE ALL CHECKS PAYABLE TO: JACKSONVILLE SEMINOLE CLUB
MAIL INFO TO: Kevin Wortmann - 510 Highway A1A N, Ponte Vedra, FL 32082
Fax Info to Kevin Wortmann – 904-273-3890 or Call Kevin @ 904-273-3843
Email Entry, With Approval, for SUPPLIER CHARGEBACK ONLY
To nshoults@banfi.com
