Wendy’s Golf Classic Registration

First Name: *

Last Name: *

Company Name: (Optional)

Email Address: *

Phone: *

Address: (Optional)

City: (Optional)

State: (Optional)

Zip: (Optional)

Registration Type: *

Team Captain Name: *

Team Captain Email Address: *

Golfer #2 Name: (Optional)

Golfer #2 Email Address: (Optional)

Golfer #3 Name: (Optional)

Golfer #3 Email Address: (Optional)

Golfer #4 Name: (Optional)

Golfer #4 Email Address: (Optional)

Name on Card: *

Credit Card Type: *

Credit Card Number: *

CVV:

Exp. Month: *

Exp. Year: *

Billing Address: *

Billing Address 2: (Optional)

City: *

State: *

Zip: *

Total Amount:

The Wendy’s Classic
Ashland Golf Club
1333 Center St.
Ashland, OH 44805