June 28th

Dinner Auction

Registration Form

Please complete the form below to sign up for auction dinner tickets.

Four tickets are included with each golf team registration.

Use this form to reserve those tickets as well as tickets for guests at $75.00ea.

 

Team Name: 

Player Name: 

Phone Number: 

Email: 

Mailing Address: 

City:    State:    Zip Code: 

Attending Auction:    Yes    No

  Steak & Shrimp      Double Steak      Vegetarian


Player Guest Name:  
Attending Auction:    Yes    No

  Steak & Shrimp      Double Steak      Vegetarian 

($75 Charge applies after first 4 tickets)
Please Mail $75 per guest to:
Chad Cota Athletic Foundation
711 Medford Center #141
Medford, Or. 97504

 

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Welcome to the Chad Cota - Ronnie Lott Celebrity Golf Shootout.  The Chad Cota - Ronnie Lott Celebrity Golf Shootout will take place at the new Centennial Golf Club in Medford, Oregon.  The Cota - Lott Celebrity Golf Shootout at Centennial Golf Club in Medford, Oregon will be the first golf tournament at that golf course.  The Chad Cota - Ronnie Lott Celebrity Golf Shootout is a charity event to benefit FCA (Fellowship of Christian Athletes) and All Stars Helping Kids, as well as other Southern Oregon based charities.