Thank you for your participation. Please fill out the form below and choose whether you would like to pay immediately (through UCSD's Online Giving Form), whether you would like us to contact you with payment options, or whether you would like to print out this information, and send it and your payment by mail.

First Name:
Last Name:
Email:
Address:
City:
State: , Zip:
Telephone: , Fax:

Please reserve me (#number of players) at $350 per person for the tournament, cocktail party & auction and awards. $
Please reserve foursome/s at $1300. $
Please reserve for cocktail party & auction only @ $60 per person. $
I would like to be a Tee Sponsor at $350. $
Sorry I wont be able to attend. This is our tax-deductable donation. $
$


Please complete the following for the additional golfers and/or reception attendees.
1. Additional Golfer/Attendee Golfer Reception attendee
First Name: Last Name:
Address: City: State: Zip
Telephone: Email:
 
2. Additional Golfer/Attendee Golfer Reception attendee
First Name: Last Name:
Address: City: State: Zip
Telephone: Email:
 
3. Additional Golfer/Attendee Golfer Reception attendee
First Name: Last Name:
Address: City: State: Zip
Telephone: Email:
 
4. Additional Golfer/Attendee Golfer Reception attendee
First Name: Last Name:
Address: City: State: Zip
Telephone: Email:


Please click the appropriate button, based on how you would like to proceed:




Note: All donations are tax deductible to the extent allowed by law.
UCSD Foundations Fed. Tax ID# 95-2872494

For more information please contact:
Our Program Representative is Cynthia Murillo
golfforearthritis@ucsd.edu
Telephone (858) 534-1909
Fax (858) 534-2606