2021 Bruin Classic Registration Please enable JavaScript in your browser to complete this form.Registration Type *Sponsorship RegistrationTeam RegistrationWhat type of Registration would you like?Company Name *Contact Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Sponsorship Selection *Double Eagle "Title" Sponsor - $5000.00+Eagle Sponsor - $2500+Birdie Sponsor - $1500+Top Hole Sponsor - $1000+Lunch Sponsor - $500+Driving Range Sponsor - $500+Raffle Prize Sponsor - $500+Hole Sponsor - $100+Sponsorship Levels of SupportPlease list my/our name(s) for recognition purposesI would like my gift to remain anonymousType of PaymentCheck or CashCredit Card via PaypalPlease check if an invoice is required?Invoice Required?Receipts will be sent via email once payment is received. Mail Payment: Bartlesville Quarterback Club PO Box 2182 Bartlesville, Ok 74005-2182 Mail Payment: Bartlesville Quarterback Club PO Box 2182 Bartlesville, Ok 74005-2182 PayPal screen will prompt after select ORDER NOW MessageSubmit Registration
