Team & Individual Registration - Greater Fairbanks Community Hospital Foundation

FRONTIER SUPPLY COMPANY CHILDREN'S CHARITY GOLF CLASSIC

SPECIAL THANKS TO OUR 2022 PLANTINUM SPONSOR, REHAU!

Team or Individual Player Registration

Please register your team or yourself below.

Team Name

Contact Name(Required)

First Last

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sponsorship and Fees

Team Registration (5 Players)

Price: $1,000.00

Individual Golfer

Price: $200.00

Player Information

Golfer 1 Name

First Last

Shirt Size

Shirt Type

Handicap (preferred) or Average Score

Golfer 2 Name

First Last

Shirt Size

Shirt Type

Handicap (preferred) or Average Score

Golfer 3 Name

First Last

Shirt Size

Shirt Type

Handicap (preferred) or Average Score

Golfer 4 Name

First Last

Shirt Size

Shirt Type

Handicap (preferred) or Average Score

Golfer 5 Name

First Last

Shirt Size

Shirt Type

Handicap (preferred) or Average Score

Optional Additional Donation

Diabetes Kits

Price: $32.00

Contains books designed to help kids learn about and manage a new diabetes diagnosis.

Respiratory Kits

Price: $20.00

Contains either NoseFrida or a spacer for use with inhaler.

Infant Kits - HALO SleepSack

Price: $12.00

Sleep sacks encourage safe sleeping practices to prevent sudden infant death.

Total

Payment Information

Please 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 FSC

Mail 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 99701

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Email

This field is for validation purposes and should be left unchanged.