FRONTIER SUPPLY COMPANY CHILDREN'S CHARITY GOLF CLASSICSPECIAL THANKS TO OUR 2022 PLANTINUM SPONSOR, REHAU!Team or Individual Player Registration Please register your team or yourself below.Team NameContact Name(Required) First Last Email(Required) Phone(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Sponsorship and FeesTeam Registration (5 Players) Price: $1,000.00 Quantity: Individual Golfer Price: $200.00 Quantity: Player InformationGolfer 1 Name First Last Shirt SizeSelect OneSmallMediumLargeX Large2X Large3X LargeShirt TypeSelect OneMen's ShirtWomen's ShirtHandicap (preferred) or Average ScoreGolfer 2 Name First Last Shirt SizeSelect OneSmallMediumLargeX Large2X Large3X LargeShirt TypeSelect OneMen's ShirtWomen's ShirtHandicap (preferred) or Average ScoreGolfer 3 Name First Last Shirt SizeSelect OneSmallMediumLargeX Large2X Large3X LargeShirt TypeSelect OneMen's ShirtWomen's ShirtHandicap (preferred) or Average ScoreGolfer 4 Name First Last Shirt SizeSelect OneSmallMediumLargeX Large2X Large3X LargeShirt TypeSelect OneMen's ShirtWomen's ShirtHandicap (preferred) or Average ScoreGolfer 5 Name First Last Shirt SizeSelect OneSmallMediumLargeX Large2X Large3X LargeShirt TypeSelect OneMen's ShirtWomen's ShirtHandicap (preferred) or Average ScoreOptional Additional DonationDiabetes Kits Price: $32.00 Quantity: Contains books designed to help kids learn about and manage a new diabetes diagnosis.Respiratory Kits Price: $20.00 Quantity: Contains either NoseFrida or a spacer for use with inhaler.Infant Kits - HALO SleepSack Price: $12.00 Quantity: Sleep sacks encourage safe sleeping practices to prevent sudden infant death.Total Payment InformationPlease pick your payment option: Send Check to Greater Fairbanks Community Hospital Foundation Pay with Credit Card to Greater Fairbanks Community Hospital Foundation (see below) Send Check to Frontier Supply Company Credit on Frontier Supply Account Equivalent Value of Saleable Merchandise to FSCMail checks to Greater Fairbanks Community Hospital Foundation, ATTN FSC Golf Classic, PO Box 71396, Fairbanks, AK 99707 or Frontier Supply Company, ATTN Robyn Raker, 981 Van Horn Road, Fairbanks, AK 99701Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.
