Sponsor & Play - Experiment in Self Reliance, Inc. : Experiment in Self Reliance, Inc.

I would like to*

Name*

First Name Last Name

Address*

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

Phone*

Email*

Company (if applicable)

Choose Sponsorship Level*

Please select which sponsorship level you are interested in.

Platinum Sponsorship $7,500 (12 Players)
Gold Sponsorship $5,000.00 (8 Players)
Silver Sponsorship $2,500 (4 Players)
Bronze Sponsorship $1,000 (2 Players)
Beverage Cart $250
Hole Sponsorship $100

What would you like your sign to say?*

Names of other team members*

A complete team is 4 people. List yourself, and any other person who may be on your team. We are happy to match individuals or incomplete teams with other players. If you do not know anyone else who will be on your team at this time, simply write "N/A" and give us a call at 336-722-9400 with the names when you are ready. Otherwise, we are happy to match you with a team if you sign up as an individual.

Total

$0.00