Mercer County Community College
Tuesday, October 6, 2009 		Reservation
Form

Print, complete and send to:

MCCC Athletics Department
PO Box B
Trenton, NJ  08690

Please reserve a/an _______________________________________________
(indicate sponsorship or participation level) in the amount of $ _____________.

Contact Name ____________________________________________________

Company ________________________________________________________

Address _________________________________________________________

City __________________________________  State ______  Zip ___________

Phone ___________________________  Fax ___________________________

Names in Foursome:
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
4. ______________________________________________________________

I will attend the Awards Dinner only.
Hole Sponsorship (please attach corporate card or camera-ready artwork)
I cannot attend, but here is my donation of $ _____________.

Payment Method
Remember, your contributions are tax deductible to the extent allowed by law!
Proceeds benefit the Student Athlete Scholarship Fund.

Enclosed is a check for $____________ payable to "MCCC Foundation c/o Athletics"
...OR...
Pay by
credit card:
VISA, MasterCard, or American Express number:

____________________________________________

CVV Number (3-digit number on back of card;
4-digit number on front of American Express): _______

Expiration Date: ________   Amount to be charged: $___________

Cardholder Signature: ____________________________________

For further information,
contact John Simone - (609) 570-3741; e-mail simone@mccc.edu