WILD GAME FEED GOLF TOURNEY
GOLF TOURNAMENT registrationRegister by May 13, 2011. Please call for availability after this date.
4 Options to Register... > Online: www.mwcmn.org
> Mail: The registration form below and payment to:
Midwest Challenge, Attn: Keely Perry, PO Box 7067, Minneapolis, MN, 55407
> Email: [email protected] with your completed
form details and payment information
> Call: Keely Perry, 612-825-6871, ext: 102
Once you’re registered, you’ll receive an EMAIL confirmation.Just prior to the event you’ll be emailed your detailed confirmation as well.
Donationp Unable to attend, but would like to make a donation. $________________
Registration Formp $175 Individual golfer
p $600 4-person team as listed below
p $25 Dinner only
_____________________________________________________________________ Name
_____________________________________________________________________ Address
_____________________________________________________________________ City/State/Zip
________________________________ __________________________________ Phone Email
_____________________________________________________________________ #2 Golfer Name
_____________________________________________________________________ #3 Golfer Name
_____________________________________________________________________ #4 Golfer Name
Sponsorships (check one) includes 4-person team & marketing material
p $5000 Genesis House
p $2500 Redemption House
p $1500 Life Rebuilders
p $250 Hole Sponsorship (golf not included in Hole Sponsorship)
Payment (check one)p Check enclosed, payable to “Midwest Challenge”
p Credit Card: ___ Visa ___ Mastercard ___ Discover
_____________________________________________________________________ Card #
_____________________________________________________________________ Card Holder Name
________________________________ __________________________________ Expiration Date 3 Digit Code (on back of card)
_____________________________________________________________________ Card Holder Name
_____________________________________________________________________ Signature
WILD GAME FEED & SILENT AUCTION registrationRegister by April 4, 2011. Please call for availability after this date.
4 Options to Register... > Online: www.mwcmn.org
> Mail: The registration form below and payment to:
Midwest Challenge, Attn: Keely Perry, PO Box 7067, Minneapolis, MN, 55407
> Email: [email protected] with your completed
form details and payment information
> Call: Keely Perry, 612-825-6871, ext: 102
Once you’re registered, you’ll receive an EMAIL confirmation.Your ticket(s) will come in the mail.
Donationp Unable to attend, but would like to make a donation. $________________
Registration Formp $60 Individual plate
p $400 8-person table
_____________________________________________________________________ Name
_____________________________________________________________________ Address
_____________________________________________________________________ City/State/Zip
________________________________ __________________________________ Phone Email
Seating Time Options (check one)p Midday Seating
11-12 Social & Silent Auction, 12-1 Luncheon & Program
p Evening Seating
5-6 Social & Silent Auction, 6-7 Dinner & Program
Payment (check one)p Check enclosed, payable to “Midwest Challenge”
p Credit Card: ___ Visa ___ Mastercard ___ Discover
_____________________________________________________________________ Card #
_____________________________________________________________________ Card Holder Name
________________________________ __________________________________ Expiration Date 3 Digit Code (on back of card)
_____________________________________________________________________ Card Holder Name
_____________________________________________________________________ Signature
Midwest Challenge is dedicated to changing thelives of adult men finishing up their prison terms,
and helping homeless, chemically dependentmen transition back into society.
The funds raised during these events will help the men of Midwest Challenge and their families. The Midwest Challenge programs are centered on outreach, mentoring, support groups, service projects, and spiritual growth.
GOLFtournamentBenefitting Genesis & Redemption - Programs of Midwest Challenge
Monday, May 23, 2011 • Shotgun @ NoonOlympic Hills Golf Club
10625 Mount Curve Road, Eden Prairie, MN 55347
Wild Game Feed& SILENT AUCTION
Benefitting Life Rebuilders - A Program of Midwest Challenge
Thursday, April 14, 2011 • 11 a.m.-1 p.m. or 5-7 p.m.Joe Miller’s Race Shop
22222 Dodd Blvd, Lakeville, MN 55044
da t e : 7/12/10 app : I L LUSTRATOR CS5
j o b d e s c r i p t i o n : FIELD 12 OZ PRO LEAGUER CLASSIC FRANKSj o b n umbe r : C J F - 0705 i t em I D : N/A
d e s i g n a pp r o v a l :
FA a pp r o v a l :
fonts: MISS SCARLET, COPPERPLATE GOTHIC 33 BC
colors:
post office box 1017 milford, oh 45150 ph: 513.575.5100 fax: 513.575.2728 email: [email protected]
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Proud sponsor of theMidwest Challenge
Wild Game Feed& Golf Tournament
LIFE BUILDERSRE , INC.Helping People Rebuild �eir Lives
and Become Self-Supporting
A Program of