MedWest | Golf Registration

Name (first and last): *

Company (if applicable):

Email Address: *

Address: *

City/State/Zip Code: *

Participation Level (Select all that apply)

Corporate Sponsor ($600)
Team Sponsor ($400)
Hole Sponsor ($150)
Tee Sponsor ($100)

Team Captain:

Player 2:

Player 3:

Player 4:

Preferred Payment Method:

I will mail a check to the address below:
I wish to be contacted about payment:
I will pay full amount the day of the tournament:

Make Check Payable to: MedWest-Harris & Swain Foundation Chaplaincy Golf Tournament, Attention: Linda Claus, 98 Doctors Drive, Suite 315, Sylva, NC 28779