August 4, 2012

2012 Entry Form

22nd Annual Buehrle Golf Classic

Presented by The Buehrle Family Foundation
Benefiting John Wayne Cancer Institute, Siteman Cancer Center and Rypien Foundation

Entry Form

We can now accept payment online!
Simply fill out the form below to register.
You will receive a confirmation of your registration via email.
If you prefer to pay by check, please print out your email confirmation and mail with your check to:

22nd Annual Buehrle Golf Classic
Buehrle Family Foundation
1324 Clarkson Clayton Center
Suite #345
Ellisville, MO 63011

Please register by July 16, 2012

Golfer Name(s)
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Your First Name
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Your Last Name
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Mailing Address
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City, State, Zip
Please provide your city, state and zip
Phone
Please let us know your phone number
Email
Please provide your email address

Golf Preference
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Number of 1-Round Golfers @ $150/golfer
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Number of 2-Round Golfers @ $250/golfer
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Note: Tournament entry fees are not tax deductible

Hole Sponsorship/Donation in the amount of
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Note: Sponsorship fees are tax deductible

If you are sponsoring a hole,
indicate how you would like
the sign at the hole to read:
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Preferred Method of Payment
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Total Amount
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Contests

Contests will be held throughout the course, such as

Hole-In-One

Longest Drive

Closest to the Pin

 

Sponsorships are a great way to
advertise your company. 
With two shotgun starts,
it doubles your exposure!

Donations for raffle prizes
and auction items
would be greatly appreciated!