September 20 Golf Tournament - South Dakota Retailers Association

Your name: *

Business / Employer: *

We are required by state law to use your home address for PAC fundraising records.

Home address: *

City: *

State: *

Zip code: *

Daytime phone number: *

Email address: *

I will attend: *

Golf Tournament (Thurs. Sept 15 - noon tee time)
Social and Dinner (social at 5 pm / dinner at 5:30 pm)

If golfing - what is your handicap (if known):

If you will be paying for other attendees, please provide their names and home or business addresses.

Guest 1 (Name and address):

1st guest will attend:

Golf Tournament
Social and Dinner

Guest 2 (Name and address):

2nd guest will attend:

Golf Tournament
Social and Dinner

Guest 3 (Name and address):

3rd guest will attend:

Golf Tournament
Social and Dinner

Other information/notes:

Total donation to SDRA PAC: *

The cost to attend is $125 per person for golfers (golf-social-dinner), and $35 per person for the social and dinner only. Golf and dinner registration fees are payable to SDRA PAC. Under state law, contributions to SDRA PAC may be in the form of cash, a corporate check, business check, or personal check.

Payment: *

Please send me an invoice
I will mail a check to SDRA (PO Box 638 - Pierre SD - 57501)
I will pay at the tournament

Total amount: *