EmailMe Form - 27th Annual San-Betsu Charity Golf Tournament RSVP

Company Name *
Contact Name *
Phone *
### - ### - ####
Email *
Please check all that apply *
Golf Participant ($400 per person)
Tee Marker Sponsor ($700). A promotional, 16.5" x 26" sign on tee ground
Raffle Prize Sponsor
Benefactor (A monetary, 100% tax-deductible donation toward funds)
**For Tee Marker Sponsor, JCCI will send over an invoice to the email given.**
1. Golf Participants
Please skip this section if it does not apply
Number of Golf Participants ($400 per player)
Please list participant(s) Name, Title, Email, and Phone in the box below
Ex: 1. Shoko Kaigisho, Manager, xxxx@jcciny.org, 000-000-0000
2. Jay C. Ciai, Partner, etc.
2. Tee Marker Sponsor ($700)
Please skip this section if it does not apply.
Please describe what you would like to include in the sign as below
Ex: Company name and logo/company name only
3. Benefactor
Please skip this section if it does not apply.

* Please make all check(s) payable to the J.C.C. Fund.
* Your donation will be 100% tax-deductible and go toward JEI (Japan Educational Institute of New York)
Donation Amount
$ Dollars . Cents
4. Raffle Prize Sponsor
Please skip this section if it does not apply
Name of Prize
Quantity
Retail Value
$ Dollars . Cents
Additional prizes? Please list the Name, Quantity, and Approximate Retail Value below
Ex: Golf ball, 3 boxes, $100
Image Verification

Please enter the text from the image:
[Refresh Image] [What's This?]