13th Annual Dan Macumber Memorial Junior Achievement Golf Tournament Monday, June 8, 2015 Tee time at 10:00 a.m. Springbrook Country Club—2122 17th Avenue DeWitt, IA Join us to celebrate the loving memory of our dear friend! Benefitting two organizations near and dear to Dan’s heart: Tournament Information Shotgun Start: 10 a.m. Four-Person Best Shot Format 9:30 a.m. Registration and warm-up Games and challenges will be held throughout the day Event Sponsors Course Sponsor Cost $100 per player Registration Deadline is Monday, June 1, 2015 Past participants — to reserve a two-some or four-some in the event, please send a minimum $100 deposit by this date. The remaining available golf slots will be filled first-come, first-serve. Reception Sponsor *If the Golf Tournament must be postponed due to inclement weather, JA will contact all golfers the morning of the event. The Players Reception will be held on June 8, regardless of the Golf Tournament status. Golfers will receive a voucher for future play. No refunds will be issued due to the postponement of the Golf Tournament because of inclement weather. For More Information Contact Greg Barnes, Barnes Foodland, 563-659-3136 Mike Devine, DeWitt Travel Mart, 309-781-0579 Jane Jansen, Iowa Mutual Insurance, 563-659-3231 Mary Macumber-Schmidt, Family Resources, Inc., 563-468-2218 Stan Reeg, Robert W. Baird Group, 563-445-6220 Rich Fontenoy, Junior Achievement, 309-277-3913 Still Available: Cart Sponsor Prize Sponsor Lunch Sponsor Welcome Sponsors Registration Form Team Captain or Sponsor Name: ____________________________________________________________ Email address (for confirmations): ____________________________________________________________________ Player 1 Name____________________________________________ Workplace______________________________ Phone________________________ Email_____________________________________ Need Cart? Y / N Player 2 Name____________________________________________ Workplace______________________________ Phone________________________ Email_____________________________________ Need Cart? Y / N Player 3 Name____________________________________________ Workplace______________________________ Phone________________________ Email_____________________________________ Need Cart? Y / N Player 4 Name____________________________________________ Workplace______________________________ Phone________________________ Email_____________________________________ Need Cart? Y / N Payment Method _____ Check(s) enclosed. Make payable to: Junior Achievement/Dan Macumber Memorial. _____ Credit card (circle one): VISA MasterCard Discover Account # ______________________________________________ Exp. Date_________________ Signature _______________________________________________ Please contact me regarding the following: _____ I would like to donate prizes for the tournament (cash, product, service or gift certificate). Examples: golf balls, clubs, accessories, caps, shirts, jackets, gift baskets, etc. My donations is _______________________________________________________________________________ valued at $_________________________. _____ My business would like to sponsor a tee or green at the tournament for $100. The recognition name on the sign should be ________________________________________________________. _____ I’d like to volunteer (or know someone who would) at the golf tournament. Name_____________________________________________________________________________________________ Business__________________________________________________________________________________________ Address_________________________________________________ City/State/Zip______________________________ Phone_________________________________________________ Email____________________________________ Return completed form to: Junior Achievement of the Heartland, Attn: Rich Fontenoy, 800 12th Avenue Moline, IL 61265 Fax: (309) 277-3963 Email: [email protected]