Beach Blast Golf Classic Registration Form 2016 Registration for Beach Blast Golf Classic Team and Player Registration*Full Team Registration (four players)Single Player(s) RegistrationEntry fee for each player is $200, and includes golf (including all greens and cart fees), breakfast, contests, awards, and bar reception following the tournament. Payment for all registrated players must accompany this form. Teams or players without full payment will not be guarenteed a spot in this limited field. Please indicate whether this registration is for a full team (four players) or a partial team (one to three players). If you are registering as a partial team or single player, you will be paired with other teams/players as registration comes in. If you wish to be paired with specific individuals, please list those names in the space provided and include as much information as possible.Name* First Last CompanyTeam Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Daytime Phone*Email* Enter Email Confirm Email EVENT SPONSORSHIPPresenting Sponsor Price: $10,000.00 Quantity: Includes two foursomes (benefits below) for tournament play and primary logo placement on all tournament signage: website, promotional materials, banners, etc.Platinum Sponsor Price: $5,000.00 Quantity: Includes one foursome (benefits below) and secondary logo placement on website and all tournament signage. (three available)Player Package Sponsor Price: $2,500.00 Quantity: Includes two players and company logo/name on all player prize packages distributed in carts before the round.Beverage Sponsor Price: $500.00 Quantity: Includes two players and company logo/name on all beverage carts and stations. (four available)Longest Drive Sponsor Price: $500.00 Quantity: Includes one player and company logo/name on signage at respective hole. Also includes opportunity to present the Longest Drive prize to winning players at awards reception immediately following the tournament.Putting Contest Sponsor Price: $500.00 Quantity: Includes one player and company logo/name on signage at putting hole. Also includes opportunity to present the Putting Contest prize to winning players at awards reception immediately following the tournament.Hole Sponsors Price: $500.00 Quantity: Company logo/name on signage at respective holes. (20 Available)Individual (Family) Hole Price: $200.00 Quantity: Honor and remember loved ones with their name on signage at respective holes.GOLFFoursome Price: $800.00 Quantity: Includes course fees, breakfast, contests, awards and bar reception following the tournament.Individual and Celebration Price: $200.00 Quantity: Includes course fees, breakfast, contests, awards and bar reception following the tournament.ContributionsContribution Use this to make a contribution to help support Beach Blast.PlayersWe will provide updated information to all of our players (teams, changes due to weather conditions, etc.) via email. If you are registering a full team but don’t have all four of your players’ names at this point, please list your first player’s name in the first name space, and the list the others as “GUEST OF”.Player 1 First Last Player 1 Email Enter Email Confirm Email Player 2 First Last Player 2 Email Enter Email Confirm Email Player 3 First Last Player 3 Email Enter Email Confirm Email Player 4 First Last Player 4 Email Enter Email Confirm Email Total $0.00 CAPTCHAplease type in the letters in the box abovePay by Check Select to pay by check(s) by mail Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.