Charity Golf Outing - The Arc of The Quad Cities Area

Get ready for some summer fun with our June Charity Golf Outing!

Where: Highland Springs Golf Course

9500 35th St. W. Rock Island, IL

When: Registration begins at 8am, Golf begins at 9am

Lunch & Prizes to follow

Please submit completed form with check made payable to: The Arc of the Quad Cities Area

I am Registering/Paying for:*
- I am paying for my team
- I am paying for a hole sponsor only
- I am paying for my team and a hole sponsor
- I am paying for some but not all of my team
- I am paying for myself only
NOTES:
I'd prefer earlier tee time...put me with these players...etc.
Name:*
Phone Number:*
e-mail:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Players*
Price: $100.00 Quantity:
Please include yourself
Player name 1*
Player name 2
Player name 3
Player name 4
Hole Sponsorship*
- I would like to sponsor a hole ($100)
- I do not want to sponsor a hole
Grand Total (Players + Hole Sponsorship)
$0.00
Credit Card

American Express
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MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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