Team / Company Name*Team Captain Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Team Captain Phone Number*(###) ###-####Team Captain Email* HandicapTeam MembersTo complete the registration, you don't need to provide all team members at this time. All team members are required before registration.Team Member Name First Last Email HandicapTeam Member Name First Last Email HandicapTeam Member Name First Last Email HandicapTotal handicap for each team should be a minimum of 40.Team Entry ($350)Flight Preference*AM FlightPM Flight(First-come, first-served) Flight selection availability will be confirmed by email.Team EntryPurchase Ball Drop TicketsPurchase Ball Drop entry tickets at $10 each or 3/$20. There is no limit. The winning ball will win $500! First ball in wins, if none go in - closest ball to the hole wins. If a tie occurs a drawing will be held to determine the winner. Need not be present to win.Ball Drop TicketsPurchase Individual Tickets: $10.00 eachPurchase Tickets in Lots: 3 tickets for $20.00Purchase Individual TicketsPurchase Individual Tickets ($10.00 each) Price: $10.00 Quantity: Purchase Tickets in LotsPurchase Tickets in Lots (3 tickets for $20.00) Price: $20.00 Quantity: PaymentCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Total $0.00 Yes, I would like to keep updated about Muncie Mission via email. CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.