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Home
About
Board of Directors
Social Media Policy
Contact Us
How Can I Give?
Programs
General Funds
Special Funds
Corporate Partners
HCF Hope Collective
Key Projects
Swings for Scholarships
Run for Your Buns
Take A Swing At Cancer
Hey Baby, NICU Cameras
Kissing Cancer Goodbye Campaign
Employees
Physicians
Register for
Take a Swing at Cancer Events
May 5 - May 6, 2024
Old Waverly & Mossy Oak Golf Clubs
Benefiting the North Mississippi Medical Center Cancer Care Assistance Fund
Take a Swing at Cancer Brochure
Vendor Village Brochure
Honor Our Honorary Chair
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Please enable JavaScript in your browser to complete this form.
Registration Status
I am an NMMC Hospital Vendor
I would like to Sponsor the event
I would like to register as a participant
Vendor
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Company Name
*
Notes or Requests
Email
*
Do you plan to attend Vendor Village?
*
Yes
No
Vendor Partnership Opportunities
*
$3,000
$5,000
$7,500
$10,000
$3,000 Vendor
2.5 hours of display/networking at Vendor Village
Includes table & display space
Two tickets to evening gala
Name 1 for Evening Gala
*
First
Last
Name 2 for Evening Gala
*
First
Last
$5,000 Vendor
2.5 hours of display/networking at Vendor Village
Includes table & display space
Two tickets to evening gala
Your logo as a sponsor on Vendor Village and other event signage
Name 1 for Evening Gala
*
First
Last
Name 2 for Evening Gala
*
First
Last
$7,500 Vendor
2.5 hours of display/networking at Vendor Village
Includes table & display space
Two tickets to evening gala
Your logo as a sponsor on Vendor Village and other event signage
One golf team during Monday's four-man scramble
Overnight accommodations on Sunday night (one room)
Golf Course Preference
Mossy Oak
Old Waverly - FULL
Golfer 1
*
First
Last
Golfer 3
*
First
Last
Name 1 for Evening Gala
*
First
Last
Golf Flight Preference
1:30 PM
8:15 AM - FULL
Golfer 2
*
First
Last
Golfer 4
*
First
Last
Name 2 for Evening Gala
*
First
Last
$10,000 Vendor
2.5 hours of display/networking at Vendor Village
Includes table & display space
Two tickets to evening gala
Your logo as a sponsor on Vendor Village and other event signage
One golf team during Monday's four-man scramble
Overnight accommodations on Sunday night (one room)
Your logo as presenting sponsor on all event signage
The opportunity to set up a table at golf registration
Four evening reception tickets
Four-bedroom onsite condo for overnight accommodations
Golf Course Preference
Mossy Oak
Old Waverly - FULL
Golfer 1
*
First
Last
Golfer 3
*
First
Last
Name 1 for Evening Gala
*
First
Last
Name 3 for Evening Gala
*
First
Last
Golf Flight Preference
1:30 PM
8:15 AM - FULL
Golfer 2
*
First
Last
Golfer 4
*
First
Last
Name 2 for Evening Gala
*
First
Last
Name 4 for Evening Gala
*
First
Last
Name for Overnight Accommodation
*
First
Last
Do you need additional options?
Monday Golf Team
Gala Tickets
Overnight Accommodation
Tennis Tournament Registration
How many additional teams?
1
2
3
4
5
Addtional Gala Tickets?
1
2
3
4
5
Overnight Accommodation
1
2
3
4
5
Number of Tennis Players
1 Player (Sunday OR Monday)
2 Players (Sunday OR Monday)
3 Players (Sunday OR Monday)
4 Players (Sunday OR Monday)
5 Players (Sunday OR Monday
1 Player (Both Days)
2 Players (Both Days)
3 Players (Both Days)
4 Players (Both Days)
5 Players (Both Days)
Include names for each ticket holder
Include names for overnight registration
Include names for each tennis player, email, tennis level, and day playing
Golf Course Preference
Mossy Oak
Old Waverly - FULL
Golfer 1
*
First
Last
Golfer 3
*
First
Last
Golf Flight Preference
1:30 PM
8:15 AM - FULL
Golfer 2
*
First
Last
Golfer 4
*
First
Last
Sponsor
Sponsorships
Par - $1,000.00
Birdie - $1,750.00
Eagle - $2,500.00
Double Eagle - $5,000.00
Ace - $7,500.00
Masters - $10,000.00
Tennis Tournament - $2,500.00
Par
Hole Sponsorship
Your business name featured at a hole on Old Waverly golf course
Birdie
Hole Sponsorship
One golf foursome
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Eagle
Official driving range or putting green sponsor(s)
One golf foursome
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Double Eagle
Official driving range or putting green sponsor(s)
Premium signage
Two golf foursomes
This will only be on Monday
Team 1
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Team 2
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Ace
Official lunch and dinner sponsor
Premium signage
Two golf foursomes
Two Gala tickets
Team 1
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Team 2
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Other
Name 1 of Evening Gala
*
First
Last
Name 2 of Evening Gala
*
First
Last
Masters
Premium signage
Three golf foursomes (Sunday and Monday)
Four Gala tickets
Four-bedroom condo onsite
Team 1
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Team 2
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Team 3
Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Other
Name 1 for Evening Gala
*
First
Last
Name 3 for Evening Gala
*
First
Last
Name 2 for Evening Gala
*
First
Last
Name 4 for Evening Gala
*
First
Last
Name for Condo Reservation
*
First
Last
Tennis Tournament
Premium signage at golf & tennis tournaments
Two Tennis registrations
Name 1 of Tennis Player
*
Name 2 of Tennis Player
*
Email
*
Email
*
Tennis Level
Tennis Level
Participant
Ways to participate
Stay and Play -$3,250.00
Monday Four-Person Scramble Team Registration - $1,500.00
Two Gala Tickets and Overnight Accommodations - $450.00
Gala Tickets -$150.00
Tennis Tournament (Sunday OR Monday) - $60.00
Tennis Tournament (Both Days) - $90.00
Stay and Play
Our most popular option - reserve your spot early to secure the course of your choice
Team of four in Sunday's Medal Play tournament AND Monday's four-person scramble
8 overnight tickets to Sunday evening gala
Overnight accommodations (four rooms)
Breakfast/lunch on Monday
Sunday Course Preference
Mossy Oak
Old Waverly - FULL
Monday Course Preference
Mossy Oak
Old Waverly - FULL
Monday Flight Preference
1:30 PM
8:15 AM - FULL
Golfer 1
*
First
Last
Golfer 3
*
First
Last
Golfer 2
*
First
Last
Golfer 4
*
First
Last
Name for Overnight Accommodation
*
First
Last
Name 1 for Evening Gala
*
First
Last
Name 3 for Evening Gala
*
First
Last
Name 5 for Evening Gala
*
First
Last
Name 7 for Evening Gala
*
First
Last
Name 2 for Evening Gala
*
First
Last
Name 4 for Evening Gala
*
First
Last
Name 6 for Evening Gala
*
First
Last
Name 8 for Evening Gala
*
First
Last
Monday Four-Person Scramble Team Registration
Monday Course Preference
Mossy Oak
Old Waverly - FULL
Golfer Name 1
*
First
Last
Golfer Name 3
*
First
Last
Monday Flight Preference
1:30 PM
8:15 AM - FULL
Golfer Name 2
*
First
Last
Golfer Name 4
*
First
Last
Two Gala Tickets and Overnight Accommodations (One Room)
Name 1 for Evening Gala
*
First
Last
Name 2 for Evening Gala
*
First
Last
Name for Overnight Accommodation
*
First
Last
Gala Tickets
1
2
3
4
5
7
8
9
10
Tennis Tournament Sunday or Monday
Day
Sunday
Monday
Days
Both Sunday & Monday
Tennis Players Name and Levels
Tennis Players Name and Levels
How Would You Like to Pay?
*
Pay Online
Invoice
Total
$0.00
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