Professional Documents
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Contact Name_________________________________________ Company ________________________________________________________
Address _____________________________________________ City _______________________ State _____ Zipcode ____________________
Phone ( ) ___________________________ Fax ( ) ______________________________
oVisa oMastercard oAmerican Express oDiscover oDiners Club
Card Number _________________________________________________________ Expiration Date _______ 3 Digit Code _______ (On Back of Card)
Card Holder Name ___________________________________________________________________
Card Holder Signature _________________________________________________________________
PLEASE PRINT ATTENDEE NAME(S):
Golfers Others
oGolf & Meals
1) oBox Lunch oReception & Dinner
2) oGolf & Meals
oBox Lunch oReception & Dinner
3) oGolf & Meals
oBox Lunch oReception & Dinner
4) oGolf & Meals
oBox Lunch oReception & Dinner
Please return this form with your check or money order to CMSDC or Credit Card information by Aug 2, 2010 to:
Chicago Minority Supplier Development Council, Inc. 105 W Adams, Suite 2300, Chicago, IL 60603 or Fax to (312) 755-8892
CMSDC
Scholarship
Golf
Classic
Sponsor
NAVISTAR &
The Chicago Minority Supplier Development Council, Inc.
presents the
31st Anniversary
“CMSDC Scholarship Golf Classic”
on the beautiful grounds of
White Eagle Golf Club
“An Arnold Palmer Signature Golf Course”