Select, Copy and Paste in Word, Fill in and mail or email

                                         Event Registration

 

________ I/We will participate in the golf outing                 Name ______________________________________

 

________ Number of participants                                         Company ___________________________________

 

________ $150 per Golfer or $600 per Team                        Address ____________________________________

 

________ Barbeque Dinner Only ($30)                                 City/State/Zip _______________________________

 

                                                                                                Telephone __________________________________

                  

                                                                                                 Email _____________________________________

                                                                        

                                                                               Sponsorships

 

________ I would like to be an event sponsor ($1000)

 

________ I would like to sponsor a hole ($250)

 

________ I would like to sponsor a green ($250)

 

________ I will not be able to participate, but I would like to make a donation to ensure that Bob is elected

       

                                                                        Participants

 

1. ______________________________________________________________________

 

2. ______________________________________________________________________

 

3. ______________________________________________________________________

 

4. ______________________________________________________________________

 

Please make checks payable to: Citizens for Gibbs                Mail Registration to: Citizens for Gibbs

(per Ohio law no corporate checks please)                                                                 6992 TR 466

                                                                                                                                       Lakeville, Ohio 44638

 

 

 

 

Paid for by Citizens for Gibbs, Lucille L. Hastings, Treasurer

12785 County Road 330, Big Prairie, OH  44611-9604    

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