Local 484 Charities Golf Fundraiser Registration Form

1st Annual Charities Golf Fundraiser Proceeds will support our Operation Warm Campaign and various programs we provide to our members and the community.

Deadline to Register: Friday, August 7, 2026

Where: Glacier Wood Golf Club, 604 Water Street, Iola, WI 54945
When: Friday, August 28, 2026
Time: 10:00am Shotgun Start

Golfer #1 (Team Captain if group is a foursome) *

First

Last

Local Name (If Applicable)

Enter Your Local Name & Number (ex. Stevens Point Local 0484)

Email *

Phone

Golfer #2

First

Last

Email

Phone

Golfer #3

First

Last

Email

Phone

Golfer #4

First

Last

Email

Phone

#2 Registering Applicable)

Select the Total Number of Golfers You're Registering *

• 1 Golfer - $100.00
• 2 Golfers - $200.00
• 3 Golfers - $300.00
• Foursome - $400.00

The price listed represents the total cost for that number of golfers.

Total

$0.00

Payment Options *--- Select Choice ---CheckPayPal/Credit Card

Checks payable to: Local 484 Charities Mail to: Local 484 Charities, Attn: Golf Fundraiser P.O. Box 484 Stevens Point, WI 54481

Payment

PayPal CheckoutCredit Card

Card Number

Expiration Date

Security Code

Card Holder Name

When choosing to pay with check, select credit card option and click submit. Mail your payment to: Local 484 Charities, P.O. Box 484, Stevens Point, WI 54481

Comment or Message

Enter Check Number Here or any other additional information that may be needed.

Submit

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