2024 Charity Golf Classic Dealer Registration

Registration is $800 for a team of 4 dealer members. We'll have a shotgun start at 10:00, and lunch will be delivered to the course.

Business Name*
Registration is $800 for a team of four people.*
If you need assistance with this form, contact Natalie Toler at ntoler@vada.com.
- Sign me up!
Player Information
Type TBD in required fields if players are unknown.
Player One Name*
First Last
Player One Cell Phone
Player Two Name*
First Last
Player Two Cell Phone
Player Three Name*
First Last
Player Three Cell Phone
Player Four Name*
First Last
Player Four Cell Phone
Billing
Email for Receipt*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Player Information