Golf Dinner & Program Registration - Sarasota Southside Rotary Club

CONTACT INFORMATION (person to contact regarding registration)

Name*

First

Last

Contact Number*

Area Code

-

Phone Number

Email*

DINNER & PROGRAM REGISTRATION - $45

Total Dinner/Program Guests*

One ($45)

Two ($90)

Three ($135)

Four ($180)

In order to provide each guest with important information about the event, please supply us with the following information. (If unknown at this time, input TBD.)

Guest #1*

First

Last

Guest #1 Email Address

Guest #2*

First

Last

Guest #2 Email Address

Guest #3*

First

Last

Guest #3 Email Address

Guest #4*

First

Last

Guest #4 Email Address

Total

Payment Options*

Pay with Credit/Debit Card

Pay by Mail with a Check

Please make checks payable to:

Sarasota Southside Rotary Club Foundation

Mail checks to:

P.O. Box 5718, Sarasota, FL 34277-5718

stripe

Name*

Dinner & Program Guest Registration

Dinner-Only Guest Registration