IPCC Golf Tournament

IPCC Golf Tournament Sponsor

Name

First Last

Registrants Email(Required)

Organization Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Will You Be Splitting Sponsorship Cost?(Required)

You 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 Sponsor

Tournament Sponsor (Cost Splitting)

Total

Is 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 Card

Card Details

Cardholder Name

Notice: Only click on the Submit Registration & Pay button one time to avoid the possibility of additional charges.

Name

This field is for validation purposes and should be left unchanged.