REGISTRATION FORMPlease register early! First come. First serve!

Registration Deadline: Friday, August 13, 2021In order to be registered for this tournament your form and payment MUST be directed to:

Coborn’s, Inc. | 1921 Coborn Blvd | St. Cloud, MN 56301karen.dwyer@cobornsinc.com | Questions: 320-203-6240

PROCEEDS BENEFIT

THE COBORN FAMILY FOUNDATION

Organization _________________________________________________________________

Address____________________________________________________________________

City/State/Zip________________________________________________________________

Contact Person _______________________________ Phone __________________________

Email Address (REQUIRED) ______________________________________________________

● 40 tickets - $100 You may purchase additional raffle tickets on the course.

$________ Total Payment

Security Code

● Platinum $10,000 Includes: • Banner

• Hole Sponsor • Prize Package

● Gold $7,500 Includes: • Banner

• Hole Sponsor • Prize Package

● Silver $4,000 Includes: • Hole Sponsor

• Prize Package

● Bronze $3,000 Includes: • Prize Package

● Individual $750 Includes: • Golf Fee

• Prize Package

● I cannot attend, but please accept my charitable gift of $__________.

Join us at Pebble Creek Golf Club in Becker, MN

Sponsorship

Level:

raffle tickets:

TEAM(foursome)

● Check enclosed - Make check payable to Coborn’s, Inc.

● Credit Card

Name on card__________________________________

Number _____________________________________

Expiration Date_________________________________ ● Visa ● Mastercard ● Discover ● American Express

Signature_______________________________________

● Other ________________________________________

2021GOTGInviteRgstrtnFrm051621

Name of Team Sponsor _____________________

Email contact foryour team (REQUIRED) ____________________

1) Golfer _________________________________

Organization_____________________________

2) Golfer _________________________________

Organization_____________________________

3) Golfer _________________________________

Organization_____________________________

4) Golfer _________________________________

Organization____________________________ Do you need to rent golf clubs? Please note number of sets required. _____________

Right hand____________ Left hand___________

4 person Scramble Monday, September 13, 2021

9:30-10:45 - Registration

10:45 - Welcome, golf rules, etiquette

11:00 - Shotgun Start

4:00-6:30 - Social, raffle, food and program

20 years of giving!celebrating