Swings for Scholarships Registration – Health Care Foundation of North Mississippi

Thank you for your support of the 2022 2nd Annual Jim Spruiell Memorial Scholarship Golf Scramble.

TOURNAMENT REGISTRATION

Entry Fee - $400

*Includes: 4-man team, green fees, cart & snacks

Sponsorships:

Hole Sponsor $550

Hole Sponsor $550

Registration Sponsor

Registration Sponsor - $1000

Includes a team signage & sponsor's logo. Included in all golf bags.

Platinum

Platinum - $3000

Includes 2 team entries, Premium signage

Lunch Sponsor

Lunch Sponsor- $1000

Includes 1 team, and lunch signage.

Beverage Cart $500

Beverage Cart - $500

Signage on beverage cart

In-Kind Donation

Registration

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

City

State

Zip Code

Each Player will receive a free T-shirt and 2 beverage tickets (Please indicate size below) Team Members *

Player 1

Shirt Size (Player 1)

Player 2

Shirt Size (Player 2)

Player 3

Shirt Size (Player 3)

Player 4

Shirt Size (Player 4)

Total:

Total

$ 0.00

To complete your registration and pay by credit card, enter the above amount due along with your credit card information on the following pages.

Authorize.Net *

Card Number

Expiration

Security Code

Or print the form above

print

Mail your registration form to:
Health Care Foundation
830 S. Gloster St.
Tupelo, MS 38801

Forms may also be dropped off at the HCF office, 1016 N. Gloster St., Tupelo

Contributions to the Health Care Foundation
are tax deductible as allowed by law.

Please contact the HCF office with questions or further assistance:
foundation@nmhs.net or 662-377-3613