D'Angelo Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

The Concordville Inn Golf Outing

5th Annual Hammer Open

July 15, 2019

The Concordville Inn will be hosting a golf outing with proceeds to "benefit" the memory of Donald "Hammer" Keeth. We will be golfing at the beautiful Paxon Hollow Golf Course. Registration will be at 12:00 with 1:00 shot gun start. Paxon Hollow will be providing two beverage carts for A la Carte purchases if desired.

Qty

Description

Amount

Total

Individual Golfer(s)

$100.00

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After Party

$40.00

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Golf Hole Sponsors

$100.00

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($65 Donation + $35 to Sign Cost)

Total: $0.00

Sponsor Name:

Golf Registration:

Golfer #1:

Phone Number:

After Party Guests:

Guest #1:

Phone Number:

Payer Information:

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Click 'Proceed to Confirmation' to pay with PayPal on the next page.