VOC Golf Tournament Registration 

Monday, July 26, 2010

Midvale Country Club

2387 Baird Road, Penfield, New York

Please complete the form below. When you click "Submit" at the bottom of the page, you will be redirected to the PayPal secure Web site, where you will be asked to provide payment information for the participation level you've denoted on this page. Once you've paid via PayPal, a representative from Veterans Outreach Center will get in touch with you to gather any remaining necessary information.

Contact Information:

* Denotes a Mandatory Field

*Your Name:


Company Name, if applicable:

(please list it as you wish it to appear in printed materials)

*Street:


*City:


State:    Zip:

*Your Phone Number:( ) -

*Email:

I would like to Play Golf - $175
       I have arranged to play with
                                                      (Only guaranteed if all players pay)

I would like to attend the dinner program only - $50

I would like to be a sponsor:
Hole Sponsor - $150
Corporate Sponsor - $750
Bronze Sponsor - $1,000
Donation Only $

For questions regarding the Golf Tournament, please call Alisa Parmiter at 585.546.1081 or send an email to alisa.parmiter@veteransoutreachcenter.org.