Jeff Pierce, D.O.
Founder
George Gervin
Co-Chairman
Kris Draper
Co-Chairman
Register

REGISTRATION IS NOW OPEN FOR THE 2011 GOLF OUTING!


REGISTRATION AGREEMENT

I/We agree to participate in the 2011, 14th Annual Athletes Unlimited Golf Tournament on Monday, August 8th at Walnut Creek Country Club as:

(Check all that apply)


Foursome ($1,275)** Individual ($350)

Please send registration fees by August 1st to reserve your foursome(s).

** Please provide a list of the names of the members of your foursome(s)

Foursome 1 Foursome 2
Player 1: Player 1:
Player 2: Player 2:
Player 3: Player 3:
Player 4: Player 4:

Please indicate: Competitive Group(s)   Recreational Group(s)

I/We would also like to donate the products and/or services:


Contact Name:
Phone:
Title:
Fax:
Address:
Email:
City:
State:   Zip:

Please mail in payments prior to August 1st to:

Athletes Unlimited
ATTN: Golf Tournament
P.O. Box 250942
West Bloomfield, MI 48325

If you have any questions, please contact us at (248)680-9000. The amount of this deductible contribution for federal income tax purposes is the excess of the amount of the contribution over the value of the services provided which is estimated to be $100.