Thank you for your interest in the Dinner & Awards Ceremony at the Connected Through Cancer Foundation Golf Tournament. You do not need to be a golfer to attend.

Please complete the form below with your contact information and complete payment for your Dinner Ticket ($45 per ticket). A confirmation will be sent to the email provided.

First Name *

Last Name *

Street Address

City

State

Country

Postal Code

Phone *

Email *

How did you hear about this event? *

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Participant Signature *

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Participant Name *

By checking this box, I consent to receive non-marketing text messages from CONNECTED THROUGH CANCER about various programs, offers, events, and information. Message frequency varies; message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, and new product updates, among others, from CONNECTED THROUGH CANCER at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.