IMAS 2025 Golf Outing

"*" indicates required fields

Registrant's Name*

First Last

Registrant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registrant's Email*

Tickets*

Total Amount Of People Dining*

Total

Enter names of the players on your team, including phone and email for each.

Player 1 Name*

First Last

Player 1 Phone*

Player 1 Email*

Player 2 Name*

First Last

Player 2 Phone*

Player 2 Email*

Player 3 Name*

First Last

Player 3 Phone*

Player 3 Email*

Player 4 Name*

First Last

Player 4 Phone*

Player 4 Email*

Name of the company that pays for the 4 golfers

Credit Card*

Card Details

Cardholder Name

After filling out the form above please click the Submit button

IMAS
P.O.Box 314
Manhasset NY, 11030