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Heart Haven Outreach
201 Canterbury Lane, Suite C
Bolingbrook, IL  60440

Phone: 630-226-8403
Fax: 630-226-8507

Email Us

    
Register Here!

7th Annual Christmas in July Golf Outing and Gala Dinner

Wednesday, July 14th
Bolingbrook Golf Club
2001 Rodeo Drive, Bolingbrook
 

REGISTRATION FORM

     
First Name:  
Last Name :  
Organization:  
Address1:  
Address2:  
City:  
ST:  
Zip:  
Daytime phone (incl. area code):  
Evening phone (incl. area code):  
Email:  
     
SPONSORSHIPS AND MONETARY DONATIONS: |
.

Title Sponsor:

 (Please call to register and make arrangements. We cannot process this amount as an online payment.)
$25,000
     

Sponsorship:
You may make multiple selections by holding down the Control key.

For sponsorship levels $1000 and above, please send your logo in a high resolution format to pclaar@hearthavenoutreach.org.


*Please list golfers' names below.
  

Other Donation:

 
GOLF AND DINNER REGISTRATION: |
     

Golf and Dinner @ $150 ea:
Please provide golfer's name(s) below:

Qty: ...
Golf and Dinner Subtotal:

Dinner ONLY @ $50 ea:
Please provide dinner guests name(s) below:

 Qty: .
Dinner Only Subtotal:
Please enter the total of all sponsorships, monetary donations, golf and dinner here > Total:

Please complete the rest of the form, then click on the Submit button below.
Once you click on the Submit button, you will be directed to the Payment page.
Please enter the Total on that page.

  
 
Golfers (Please provide first and last names):

Foursome #1



 Foursome #2




  
 
Dinner ONLY Guests:

First and Last Names


First and Last Names



 
     
GOLF GIFT / RAFFLE / AUCTION ITEM DONATIONS: |
     

Items to be Donated:

   
...... Golfer Gifts (144 needed): Please Describe:

Value:
     
.. ... Auction Item(s): Please Describe:

 Value:
     
.. ... Raffle Item(s): Please Describe:

Value:
 
Comments/Additional Instructions:
  
 

 
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