This page was last updated: May 9, 2011
Eye Care for Kids Foundation
9660 Hillcroft, Suite 325
Houston, TX 77096
PH: 713-728-5437
Fax: 713-728-9304
info@eyecareforkids.org
13th Annual
"Golf Fore Sight" Registration
Gala (May 25 - 6 p.m.) &
Tournament (May 26 - 11 a.m)
Name:
Company Name:
Name on Card:
Card Number:
Expiration Date: V Code:
Billing Address
City: State: Zip:
Phone Number
Email Address:
Total $ Amount to Charge
& Description of What You
are Paying For: (i.e. $255 for three gala tickets)
Gala registration required by 5/19
For each golfer please submit the following:
Name:
Title:
Company
Address
Email
Phone
Handicap
Name & Number attending gala
(2 gala tickets are included with each golfer
package, but advance reservations are
required by 5/19) *
"Gala Only" ticket purchasers, please submit the names of the individuals you are paying for below: (Reservations required by 5/19)
When you have completed this form, please press the button below to submit information: