Multi-Player Signup

PCDC: Golf for Haiti
Multi-Player Signup

On Friday, April 23, 2010, PCDC will host a golf tournament to help support the survivors of the Haitian earthquake. This is an excellent cause we are so happy that you will be joining us for this wonderful event.
Player One listed below will be noted as team captain. This person will be responsible for payment as well as getting necessary information to other teammates.

(Required fields are bold)

Captain: eMail Address *
Captain: First Name *
Captain: Last Name *
Captain Phone *	(###)#######
Captain Address *	Street AddressAddress Line 2CityState/Province/RegionPostal / Zip CodeCountry
Player 2: First Name *
Player 2: Last Name *
Player 2: Phone	(###)#######
Player 3: First Name *
Player 3: Last Name *
Player 3: Phone	(###)#######
Player 4: First Name *
Player 4: Last Name *
Player 4: Phone	(###)#######