Home IPCC Golf Tournament Sponsor You Can View the Flyer HereRegistrant Contact InformationName First Last Registrants Email(Required) Organization NameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Tournament Sponsor InformationWill You Be Splitting Sponsorship Cost?(Required)--- Please Select ---YESNOYou must enter the name of the individual or group you are splitting the cost with.Who will be splitting the cost with you?(Required)Please enter the name or group who will be splitting the registration cost.Tournament SponsorTournament Sponsor ($5,000.00)Hospitality Sponsor ($3,000.00)Hole Sponsor ($1,000.00)Hole Sponsor Only ($500.00)Tournament Sponsor (Cost Splitting)Tournament Sponsor ($2,500.00)Hospitality Sponsor ($1,500.00)Hole Sponsor ($500.00)Hole Sponsor Only ($250.00)Total Billing InformationIs Your Billing Address the Same as Above? Yes, my billing address the same as above. Billing Name First Last Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Credit CardCard Details Cardholder Name Credit/Debit Card Authorization I agree to the privacy policy.I authorize the IAM or its designated agent to charge my credit/debit card for the amount I selected for this transaction. Further, I authorize the IAM or its designated agent to record this transaction for quality purposes. The IAM does not sell information to third parties. You can read more on our policies by going to https://www.goiam.org/privacy/Notice: Only click on the Submit Registration & Pay button one time to avoid the possibility of additional charges.CommentsThis field is for validation purposes and should be left unchanged.