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PAYMENT INFORMATION: 
COMPANY:  _____________________________________________________ TOTAL DUE: ________________________________ 
CONTACT: ______________________________________________________ 
____ CHECK PAYABLE TO MRCA   OR    CREDIT CARD 
ADDRESS:  ______________________________________________________ MC: _____ AX: _____ VISA: _____ Discover: ______ 
CITY / ST / ZIP: ___________________________________________________ CC#: ___________________________CVV:_______ 
PH: ____________________________________________________________ EXP: ________________ BILLING ZIP: ___________ 
E-MAIL:  ________________________________________________________ SIGNATURE:  _______________________________ 
Please Register online at www.mrca.org OR send completed Registration Form to:  
Sherry Freier |   MRCA Leadership Summit |   p: 800.497.6722  |   f: 937.278.0317 |   e: sfreier@mrca.org 
SUMMIT GOLF OUTING REGISTRATION:  
Golf Registration includes: greens fees, carts, use of driving range, buffet lunch, drink tickets, transportation to and from the course, 
an MRCA branded golf shirt and MRCA branded golf balls. Registration must be received by Sept. 25th to receive an MRCA golf 
shirt!  
 
 Golfer Registration Fee = $295.00 per person              Team Registration Fee = $1000 per foursome 
 
Golfer #1 __________________________________   
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #2 __________________________________ 
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #3 __________________________________  
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #4 __________________________________ 
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
GOLF SPONSORSHIP OPPORTUNITIES : 
All sponsorships include Logo recognition on signage, in Sponsor Section of the Program Book and Mobile App, Logo recognition on  
E-mail Blasts sent promoting the Summit, and Logo recognition on the MRCA website on all MRCA Social Media Outlets and in MR Magazine.  
 
 LIVE Hole Sponsorship = $495  
Includes exclusive personal networking at your own designated hole for the entire outing along with lunch, beverage tickets, 
hole sponsorship signage, and a golf cart for you! Additional attendee on hole will be charged $75.00 to cover food and            
beverages.  
 
 An Individual Hole Sponsor - $200  
 
 Putting Green Sponsor - $500  
 Longest Drive Contest Sponsor - $250  
 Golf Cart Sponsor - $1000  
 Closest to the Pin Contest Sponsor - $250  
 Bloody Mary / Screw Driver Bar - $1000 
 Longest Putt - $250   
 
 
 Golf Beverage Cart Sponsor - $1000  
 Driving Range Sponsor - $500  
 
 Golf Lunch Sponsor - $2500  
 Golf Giveaway Sponsor - $500  
Logoed items provided by Sponsor placed on carts.  
(ie. Sunscreen, tees, balls, ball marker, towel, hats, lip balm, etc.)  
Full Payment must be made at the time of Registering in order to hold your spot as a Vendor. No refunds will be     
issued after October 1st. 

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