PowerLunch Golf Challenge Registration
Register by July 31st. Payment due by July 31st.
Payable to: Love Helps, inc., 2836 Logan St., Nashville, TN 37211
Fed. ID: 62-1600206
By completing and submitting this form, you are committing to participate in our event and make payment as you indicate below. If you have any questions, please contact us.

NOTE: all fields in Bold or marked with (*) must be filled in prior to submitting form.



First Name

Last Name






Contact Person's Mailing Address & Phone Information

P.O. Box or Street Address including Suite/Apt. No.


City: *

State: *

Zip: *

area code

phone number

Wk Phone

Wk Fax

Cell Phone

Contact Person's email: *

Sponsorship Level, if any


Players/Teams in addition to sponsorship above:

Number of 5-person TEAMS at $1,600 ea.:

Team Amt.:

Number of 5-person VIP TEAMS at $2,000 ea.:

VIP Team Amt.:


Total amount including sponsorship:


Team Floor Preference:

Team Seating Preference:

NOTE: VIP teams have priority on floor and seating preferences.
Recruited by:

Comments and/or In-kind Description:

We will contact you soon to confirm and provide more details.

You can also print this form out BEFORE submitting it to keep a copy for your records.

BEFORE submitting, check that all fields with a (*) have been filled in

Click to clear all:

Click to send:

Thank you for registering! Please contact us if you have any questions.

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