Take A Swing At Cancer Registration – Health Care Foundation of North Mississippi

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Home
About
How Can I Give?
Key Projects
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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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

State

Zip Code

Layout

Phone *

Company Name *

Notes or Requests

Email *

Layout

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

Layout

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

Layout (copy)

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)

Layout

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

Layout (copy)

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

Layout

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

Layout (copy)

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

Layout (copy) (copy)

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

Layout (copy) (copy) (copy)

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

Layout (copy) (copy) (copy) (copy)

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

Layout (copy)

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

Layout (copy) (copy)

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

Layout

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

Layout

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

Layout (copy)

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

Layout (copy) (copy)

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

Layout

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

Layout

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

Layout

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

Layout

Golfer 1 *

First

Last

Golfer 3 *

First

Last

Golfer 2 *

First

Last

Golfer 4 *

First

Last

Name for Overnight Accommodation *

First

Last

Layout

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

Layout (copy)

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)

Layout

Name 1 for Evening Gala *

First

Last

Name 2 for Evening Gala *

First

Last

Name for Overnight Accommodation *

First

Last

Gala Tickets

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

Authorize.Net *

Card Number

Expiration

/

Security Code

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