Benefiting the Brenda Mehling Cancer Fund &
IFMA Los Angeles and San Fernando Valley Scholarship Fund.

After completion of this form you will be directed to the payment options.

Very Important:  PLEASE LET US KNOW YOUR BILLING CONTACT

If you experience any problems, please contact us:
(click here)

* Include one Foursome and Signage

All sponsorships of $500.00 and above include Company Logo on our website!

If you are combining a Foursome with a Sponsorship, please fill out the Foursome Registration Form First (click here).

You can select multiple items by Holding the Control Key
	Please Select Your Sponsorship/s Title and Dinner Cocktail Reception Lunch Margarita Ville Bar Foursome Photos Golf Cart Gift Bags Wine Awards and Trophies Hole in One Putting Contest (sponsor) Registration Beverage Cart Beverage Center (1 of 4) Beverage Center (2 of 4) Beverage Center (3 of 4) Beverage Center (4 of 4) Tee Table and Sign Longest Drive (front nine) Longest Drive (back nine) Cigar Bar Closest to the pin (front nine) Closest to the pin (back nine) Putting Green Donating Door Prize, Auction Item or Other Tee Sign, Mulligans, Putting Contest, Raffle
MULTIPLE ITEMS		QUANTITY
Tee Signs (each)
Mulligans (Quantity of 6 per set)
Putting Contest (3 Balls per set)
Raffle Tickets (Quantity of 6 per set)
DONATIONS
	Door Prize
	Silent Auction Item
	Other
	Approximate Value of item
	Please describe the item:
CONTACT
	(same as Foursome Contact, please enter the Name or Company below)
First Name
Last Name
Company
Title
Address
Address 2
City
Zip Code
Website
Phone	Area Code - Number
Fax	Area Code - Number
E-mail
BILLING CONTACT
	(same as Sponsor Contact)
First Name
Last Name
Company
Title
Address
Address 2
City
Zip Code
Phone	Area Code - Number
Fax	Area Code - Number
E-mail
Referred by:
First Name
Last Name
Company

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Note:  All donations are posted on the website until they
have been received by one of the committee members.