Charitable Foundation

Annual Golf Classic Entry & Sponsorship Form

Please fill out the form below to sign up for the Annual Golf Classic. If you have already reserved your spot, you may pay the entry fee through our secure server (please select “Golf Event” from the Program drop-down list), or we will contact you regarding payment. Entry fees are $500 per golfer.

You may also fill out the form, print and mail it with a check payable to “WMMC Charitable Foundation” to:

ATTN: White Memorial Golf Classic
WMMC Charitable Foundation
1720 Cesar E. Chavez Ave.
Los Angeles, CA, 90033

Golfer Information

*Required Information

Individual golfer:

Name*
Company
Address*
City*
State*	Zip*
Phone*
Fax
Email*

Names of golfers in foursome:

Golfer 1
Golfer 2
Golfer 3
Golfer 4

Number of entry fees I'm paying for:

Sponsorship Opportunities

I would like to be an event sponsor (view sponsorship opportunities):

Underwriter Sponsor - $25,000
Platinum Sponsor - $12,500
Ruby Sponsor - $7,500
Gold Sponsor - $5,000
Silver Sponsor - $3,000
Bronze Sponsor - $1,500
Dinner Sponsor - $5,000
Lunch Sponsor - $2,500
Hole-in-One - $1,000
Putting Contest - $500
Inside-the-Circle - $500
Chipping Contest - $500
Longest Drive - $750
Tee Sponsor - $500
No Sponsorship

Please add my name to your mailing list.

To download this form as a Word document please click here

The White Memorial Medical Center Charitable Foundation is licensed by the City of Los Angeles-Police Commission Charitable Services Section to make appeals for charitable donations. If you would like to see a copy of our permit, please contact us.