Golf Outing - Big Brothers Big Sisters of the Mississippi Valley

25th Anniversary
Golf Outing
Presented by:
Register today to play the Jack Nicklaus designed course at
Fyre Lake Golf Club on Saturday, July 20th, 2013.
All proceeds go to support one-to-one mentoring provided by
Big Brothers Big Sisters of the Mississippi Valley.
Name: ___________________________Company: ________________________
Address: ______________________________City: ________________________
State: _____ Zip: _____________ Phone: ( _____) ________________________
Email: ____________________________________________________________
○ $1,200 Corporate Player Package (includes foursome & hole sponsorship)
○ $600 Foursome (only) ○ $300 Twosome ○ $150 Single Player
Payment method: ○ Pay by check (make out to BBBS-MV)
○ Credit Card
CHECK ONE:
Mail with completed form to: BBBS-MV 130 W. 5th St., Davenport, IA 52801
Credit Card Number: ________________________________3-digit code ______
Expiration Date: _____ / ______
Signature: ___________________________________________
For more information contact
Kayla Kiesey 563-323-8006 Email: kkiesey@bbbs-mv.org