MISS Foundation
Children's Memorial Golf Tournament
Field of Butterflies

A small portion of the field
Butterflies up-close
The field is being set up

If you are not a golfer, but you would like to participate with a Butterfly
in memory of a child you can enter that information here.
If you would like to participate in the Field of Butterflies, it is only $15.00 per child.

The cost for MISS Facilitators is $10 per butterfly, but you must mail your payment.

The butterfly orders have a deadline of November 3, 2007.

Your Name:
Your Email Address:
   
Your Address:
City:
State:
Zip:


Please provide the name(s) and birth/death dates of the child(ren) to be remembered
in the box below,



Please indicate your payment preference:



Upon submitting your registration, you will receive a confirmation email. If you would like to pay your for your butterfly(ies) via our secure online payment processing center, you may do so after submitting your information here.

If you would rather mail your payment, please make checks payable to "MISS" and mail to:

MISS Foundation
Field of Butterflies
P.O. Box 5333
Peoria, AZ 85385