Sponsor Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Level of Sponsorship (please mark)

$3,000 Title Sponsor

$1,000 Lunch Sponsor

$150 Hole Sponsor

$50 Cart Sponsor

Prize Sponsor

General Donation

Do you have a logo?

Yes

No