Million Dollar Shootout Quote/Application

Name:
Company:
Address:
Phone:
  Fax:
City:
  State:
  Zip:
Email:

 

Name of Tournament:
Golf Course:
City and State:
Number of Participants:
Amateurs     Professionals
Tournament Dates:
(1)   (2)   (3)
Hole #:
Yardage:
Prize Value:
$
Prize Description:
-Prize Indemnity Coverage only - No signs or Bonus Prizes
-Prize Indemnity Coverage Plus 1 Sign
-Prize Indemnity Coverage Plus Bonus Prizes on up to three additional Par 3 Holes and All 4 signs
Sponsor name for main prize sign:
Shipping Address: Same as above
Address City: State: Zip:

Comments / Special Instructions:

SUREBET respects your privacy.  See our Privacy Policy