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Team Registration

Flight Preference:    AM     or     PM

Company Sponsoring (if applicable): ________________________

Golfer #1 Name: ________________________________________

Email: _________________________ Phone: _________________

Golfer #2 Name: ________________________________________

Email: _________________________ Phone: _________________

Golfer #3 Name: ________________________________________

Email: _________________________ Phone: _________________

Golfer #4 Name: ________________________________________

Email: _________________________ Phone: _________________

________________________________________________________

Payment Form

Diamond Sponsorship - $1250                  _____
Platinum Sponsorship - $1000                  _____
Gold Sponsorship - $500                    _____
Silver Sponsorship - $250                  _____
Cart Sponsorship - $150                  _____
Team Foursome Registration - $700                  _____
Team Yardstick & Mulligan Pre Pay Package - $30                   _____
Individual Registration - $175                  _____
Mulligan for Individual Pre Pay - $5                  _____
                                                          Total                  _____

Name ___________________

Address ___________________

City, State ________________ Zip _____________

Phone _____________________________________

Method of Payment             - Make checks payable to Ford KTP Cares

Check / Money Order                      Visa / Mastercard

American Express

_______________________________     __________

Credit card number #                           exp. date

__________________________________________

Signature

Mail completed registrations to:

Ford KTP Cares / P.O. Box 895, Pewee Valley, KY 40056

or email to lflahert@ford.com or bkeane@ford.com











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