Name:
Company:
Mailing Address:
City:
State:	Zip:
Phone:	--
Player #2:
Player #3:
Player #4:
	Yes, I will be bringing a raffle prize
Enclosed is:
	for 2 3 4 Golfers at $125 each
	for Tee Sponsor $50 or $100
	for Special Contest Sponsor at $150
	for Beverage Sponsor at $250
	for 2 3 4 5 6 7 8 9 10 dinner tickets at $25
Total:	Enclosed is my check (Payable to Jackalope Inc.)
Charge	to my Visa or Mastercard
Cardholder Name:
Card#	---
Expiration date:	/
Authorizing Signature:

Mail to:
Jackalope, Inc
PMB 142
1464 Graves Ave, #107
El Cajon, CA 92021