$500 Foursome
$150 Single Player
$5,000 Gold Sponsor
$2,500 Silver Sponsor
$1,000 Bronze Sponsor
$750 Beverage Cart Sponsor (includes foursome)
$750 Lunch Sponsor (includes sponsor)
$450 Hole Sponsor (includes single player)
$300 Green Sign (includes single player)

Sponsor Name

First Name *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Cell Phone

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Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Holder Type

Personal
Business

Account Number

Routing Number

I authorize Fauquier Habitat for Humanity to initiate, and my financial institution to honor, a one-time electronic debit from my bank account on the date, for the amount, and from the account listed.

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

35th Anniversary Breakfast

Registration Form

Player Contact Form

Golf Tournament Registration Form

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