“The Marcy Cup” Golf Registration Contact InformationName(Required) First Last Email(Required) PhoneCompany NameAddress(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Golf and Hole Sign Sponsorship InformationIf you would like to Sponsor a Hole Sign AND Play Golf, you will be able to select a Corporate Foursome or Individual Golfer AFTER Selecting your Hole Sign Sponsorship.Sponsorship(Required) Corporate Foursome: $2,500 Individual Golfer: $575 3 Hole Signs: $500 1 Hole Sign: $250 Donation Only (Not Attending) Hole Sponsorship Should Read:(Required)Do you also want to golf?(Required) Yes No Register a Foursome or an Individual Golfer? Corporate Foursome: $2,500 Individual Golfer: $575 Golfer(Required) First Name Last Name Email(Required) PhoneCountry ClubHandicap(Required)Index(Required)Golfer 1(Required) First Name Last Name Email(Required) PhoneCountry ClubHandicap(Required)Index(Required)Golfer 2(Required) First Name Last Name Email(Required) PhoneCountry ClubHandicap(Required)Index(Required)Golfer 3(Required) First Name Last Name Email(Required) PhoneCountry ClubHandicap(Required)Index(Required)Golfer 4(Required) First Name Last Name Email(Required) PhoneCountry ClubHandicap(Required)Index(Required)Can’t Join Us for The Marcy Cup?You can still make a donation and help Dyslexia Tutoring Program provide free tutoring to low income dyslexic learners in greater Baltimore. Yes, I Would Like to Make A Donation Please Select A Donation Amount(Required) $25 $50 $100 $250 Other Enter Desired Donation Amount Billing InformationSubtotal $0.00 Would you like to cover the fee we pay to process credit cards? Yes, Add Credit Card Fee Credit Card Fee Price: $0.00 Billing Address(Required) Same as Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total Payment Method(Required)Credit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Please NoteAfter clicking submit please wait a few seconds for processing. Once your payment is processed you will receive a notification.NameThis field is for validation purposes and should be left unchanged. 78125