Golf Registration and Payment Process

Empire ERA Charity Golf Outing — Monday, July 31, 2023

Company Name (required)

Contact Person (required)

Email (required)

Phone (required)

Number of Golf (+ Lunch + Dinner) Reservations @ $150 each

Number of DINNER ONLY reservations @ $60 each

IMPORTANT! Below, list your foursome and indicate who you are paying for on this registration form.
(For example, if you are only paying for yourself, put “Y” next to your name. If paying for entire foursome, put “Y” next to all names)

If you are a Birdie or Eagle Sponsor, please list “Birdie” or “Eagle” next to the name(s) of the participant(s) covered under the sponsorship.

Individuals will be assigned to a foursome.

Golfer #1

Golfer #2

Golfer #3

Golfer #4

List Additional Golfers (one per line, if more than 4 above):

ENTER DINNER ONLY REGISTRATION INFORMATION Below:

NAME(S) of Dinner Only Attendees

Are You A Sponsor?

Form Of Payment

Special Instructions/Message

REGISTRATION IS A TWO-STEP PROCESS

STEP ONE: REGISTER. Enter in your Golf Registration details in the form on this page and Submit.

STEP TWO: PAYMENT. After submitting your details here you will be directed to the PAYMENT PAGE.

NOTE: If you have already submitted your registration information here, or have mailed it in and wish to now pay online – Go Directly to Payment Page HERE