The 5th Annual Martignetti Family Charity Bocce Tournament Sunday, October 11th, 2009 at The Sportszone, 7 "A" Street, Derry, NH

Name:*

Company:

Address:*

City:* State:* Zip*

Telephone: E-mail:*

Sponsorship level

Christoforo Colombo Sponsor ($5,000) Amerigo Vespucci Sponsor ($2,500) 1492 Sponsor ($1,000) New World Sponsor ($500) Explorer Sponsor ($250) Giacatore / Player ($100) Donation          $

No. of children & non-playing guests @ $10 ea:*

Player 1:*

Player 2:

Player 3:

Player 4:

Your Verification Code: Enter Verification Code: