Registration

Monday, August 17, 2009

Highland Park Country Club

1201 Park Avenue West, Highland Park, IL

Registration/Lunch: 11:00 a.m., Shotgun Start: 1:00 p.m. sharp

Cocktails: 5:45 p.m., Dinner: 6:30 p.m.

You can register using a credit card, debit card, or eCheck.

ONLINE REGISTRATION FORM

First Name:

Last Name:

Company:

Affiliation to NEIU:

Email Address:

Billing Address:

City:

State:

Zip Code:

Phone Number (including area code):

Yes, I plan to attend.

Sorry I can't make it, but I wish to make a contribution to the NEIU Foundation's Kane scholarships.

Golf Package:

Quantity:

Please type the name(s) of additional golfer(s).

Additional donation amount:

My contribution amount to the NEIU Foundation's Kane scholarships is: