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TEAM REGISTRATION

2024 Fulfilling the Dream Team Registration

Contact Person(Required)

First Last

Company | Business | Organization

Address(Required)

Street Address City State Zip Code

Email Address(Required)

Phone(Required)

Golfer 1

Golfer 2

Golfer 3

Golfer 4

Foursome

Price: $1,800.00

Reception Ticket

Price: $150.00

Premium Team Sponsor

Price: $5,000.00

I cannot make the event but would like to donate to the cause

Total

Billing Method(Required)

Please Mail Check to: Fulfilling the Dream Celebrity Open 3213 Walker Ave NW Walker, MI 49544 Make Check Payable to: Michigan Crossroads Council BSA

An invoice will be sent to the address listed at the top of this form.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name