Registration

Lou Mitchell Memorial Golf Outing
for Suicide Prevention

Denison Golf Club

555 Newark Granville Road, Granville, Ohio

Monday, July 22, 2019

Check in: 12:00 noon * Simultaneous Start: 1:00 pm * Dinner 6:00 pm

• 

• 

• 

Mental Health America of Licking County invites you to an event to remember a great man and to raise money for a great cause.

When	July 22, 2019  1:00 PM – 7:00 PM (12:00 PM Check In)
Location	Denison Golf Club 555 Newark-Granville Road, Granville, OH 43023
Cost	$100 per person or $400 per team, includes 18 holes, golf cart and dinner at 6:00 PM. * $35 to attend the dinner ONLY *See participation and sponsorship options in Paypal drop box below

Three Ways to Pay

1. Click here to print downloadable registration form. Fill out the form and mail along with check, to MHALC, 65 Messimer Drive, Unit 3, Newark, Ohio 43055.

 

2. Call (740) 522-1341 and pay with credit card.

3. Register with PayPal then click the “Add to Cart” icon to complete the transaction. Please be sure to include email and address information.

 

Choose your option:

Individual $100.00 USD Meal Only $35.00 USD Team (4 person) golf, carts, meals $400.00 USD Tee Sponsor $200.00 USD Tee Sponsor with 4 person team $600.00 USD Beverage Cart Sponsor with 4 person team $750.00 USD Tournament Sponsor with 4 person team $1,500.00 USD Title Partner with 4 person team $3,000.00 USD

Player Names/email/phone