Ditchmen • NUCA of Florida | Page 12

2015 Presidents Cup Golf Tournament Sponsor Registration Form Omni ChampionsGate • Orlando, Florida October 2, 2015 Name: _______________________________________________________________________ Company: ____________________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: _________________________________________________________________ Phone: ______________________________ Email Address: _____________________________ Payment Options: Check Please make payable to NUCA of Florida and mail to: NUCA of Florida 113 East College Avenue Suite 200 Tallahassee, FL 32301 Credit Card Name on Card: ____________________________ Card Number: _____________________________ Security Code: ____________________________ Expiration: ______________________________ (sent via email) If you have any questions please contact Sydney Phillips at [phone] or [email protected].