MAIBA Golf Tournament Donation and Registration Form – MAIBA

Donor Name

Donation Level

Platinum Level Donor ($1,000+)Gold Level Donor ($500+)Silver Level Donor (less than $500)Prize Donation

Team Registration

Team Registration ($500)

Team Name and Team Members

Number of Pre-Pay MulligansUp to 4; $10 each. Please add total to your cart.

Marinated Grilled Chicken (4 Boxed Lunches Provided, please indicate number for each)Swiss Cheese, Lettuce, Tomato, Marinated Onion, Herb Focaccia Roll, Pesto Aïoli

Veggie Wrap (4 Boxed Lunches Provided, please indicate number for each)Balsamic Roasted Tomato, Portobello Mushroom, Zucchini, Marinated Onion, Lettuce with Hummus

Tender Roasted Beef (4 Boxed Lunches Provided, please indicate number for each)Horseradish Aïoli, Cheddar, Tomato, Poppy Seed Baguette

Team Captain/Donor Contact *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Total Amount

USD

Donation Level + Team Registration + Pre-Paid Mulligans