DRAGONFLY'S 2018 GOLF CLASSIC REGISTRATION & SPONSORSHIP FORM This form is for online payment. If you prefer to pay by check, please contact Ria Davidson at [email protected] Payment can be mailed to The Dragonfly Foundation at 9275 Governors Way, Cincinnati, OH 45249. First Name Last Name Company Name Email Work Phone Mobile Phone Please use hyphens, not periods or slash marks GOLF CLASSIC REGISTRATION **See 2017 Golf Classic Recap Video Here! Mulligans ($10/each)Please select... 1 2 Please select an option Mulligans (3 for $25)Please select... 1 set of 3 2 sets of 3 3 sets of 3 4 sets of 3 Please select an option Individual Players ($350/pp)Please select... 1 2 3 Please select an option Foursome ($1,400)Please select... 1 2 3 4 Please select an option Banquet-Only Tickets ($75/each)Please select... 1 2 3 4 5 6 7 8 Please select an option Presenting Sponsor (SOLD OUT) - Titan Siding & RoofingFoundation Hero (SOLD OUT)Mission Sponsor (SOLD OUT)Drink Cart Sponsorships (SOLD OUT)Brunch Sponsorship (SOLD OUT)Drink Station Sponsorships (SOLD OUT)Hole Ambassadors (SOLD OUT) Golf Classic SponsorshipPlease select... Presenting Sponsor (SOLD OUT) Co-Branded Shirt Sponsor ($8K) Foundation Heroes ($5K) Mission Sponsorships ($3,500) Drink Cart Sponsors ($3,000) Brunch Sponsors ($1,500) Table/Booth at a Hole ($1K) Drink Station Sponsors ($500) Hole Ambassadors ($250) Please select an option SUBTOTAL GOLF $ MAKE A DONATION Donation Amount $ TOTAL AMOUNT OF TRANSACTION $ 2019 DRAGONFLY GRAND GALA (Save the date: March 2) Please notify me when Gala sponsorship opportunities become available.I am interested in receiving a Grand Gala invitation via email. Payment Information Name As It Appears On Card Billing Email Street Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Postal Code Card Number MM YY Code Need assistance with this form?
