Keep graduation rates on par. Go golfing.

2012 putt-a-round

BBBS Annual Putt-a-Round

Keep graduation rates on par. Go golfing.

Team Registration Form

Big Brothers Big Sisters

Putt-a-Round
January 18-20, 2012
River Center in Davenport

Team captain/coordinator: _________________________________________________

Company (if applicable): ___________________________________________________
Address: ________________________________________________________________
City: ________________________ State: ____________ Zip: ____________________
Phone: __________________________ Email: _________________________________
Total Number of teams: ________

Shift Reservation: Please check the shift you will be attending.

QC Putt Challenge
First-place team wins a plaque and bragging rights! $20 per golfer/$80 per team
Thurs. 1/19, 3:30 p.m. - 5 p.m.
Fri. 1/20, 3:30 p.m. - 5 p.m.

Thurs. 1/19, 5:30 p.m. - 7 p.m.

Lunch and Putt

Enjoy an interactive lunch with your co-workers. Lunch is provided!!
$15 per golfer/$60 per team
Thurs. 1/19, 11:30 a.m. - 1 p.m.

Fri. 1/20, 11:30 a.m. - 1 p.m.

Young Professionals Night

Come for a fun evening of socializing and networking! $15 per golfer/$60 per team
Thurs. 1/19, 7:30 p.m. - 9 p.m.

After Hours
A great way to end your work week! $20 per golfer/$80 per team
Fri. 1/20, 5:30 p.m. - 8 p.m.

Add a $20 Value Pack for my team! Includes:

1-Northwest Bank & Trust Longest Putt chance and 4 raffle tickets!
Payment Options:
Check
Invoice me
Credit Card (circle one): American Express
Mastercard
Visa
Card Number: ___________________________ Exp. Date: ______ Verification Code: _______
Authorization Signature: _________________________________________________________
Please send your payment and form to:
Emily Jepsen
Big Brothers Big Sisters
130 W. 5th Street
Davenport, IA. 52801
Fax: 563.333.2494
www.bbbs-mv.org

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