Registration Boys Girls Clubs of Fort Wayne.doc by longze569


									                              A Tournament at Autumn Ridge Golf Club
                           To Benefit the Boys & Girls Clubs of Fort Wayne

                                          Monday, June 15, 2009
                                         Autumn Ridge Golf Club
                               Scramble format with 1:00 p.m. shot gun start
                                      Registration and Lunch 11:30
                               Reception and Award Wrap-up Following Golf
The Boys & Girls Clubs of Fort Wayne enable all young people, especially those who need us most, to
reach their full potential as productive, caring, responsible citizens. We provide a safe place that they can
call their own. Our professional and caring staff serve as role models and positively influence their lives at
each of our three Fort Wayne facilities.

Please join us for a day to celebrate and support these youth or, if you cannot join us on the course, make
sure your presence is felt through the financial support of the outing. Please consider which sponsor level
investment in our youth best fits your giving plans.
Please mark the sponsorship level you choose:
□ Gold Sponsor                                                                              $2,500
   Business name & logo included on:
    Event Signage
    Hole Sponsor
    Club website with a link to your website.
    Two Teams (8 players)

□ Silver Hole Sponsor                                                                       $1,000
      Your business noted as a hole sponsor
      One team (4 players)

□ Team (Includes greens fees, cart, lunch, & lots of fun!)                                    $700
      One team (4 players)

□ Food Sponsor or Beverage Cart Sponsor (limited sponsorships available)                      $500
   Business name & logo included on:
    Lunch and Reception Area (Food Sponsors Only)
    Beverage Carts (Beverage Sponsors Only)
     2 Players

□ T-Shirt Sponsor (one sponsorship available)                                                 $500
   Business name & logo included on:
    Shirts
    2 Players

□ Individual Player (Includes greens fees, cart, lunch, & lots of fun!)                       $200
      Will be placed with team the day of the event

□ Support Sponsor
      Donate services, door prizes, or gift bag items
                                2009 Golf Registration Form

Company:                                                                        _

Contact Name: ____________________________________________________

Phone Number: _____________________ Fax Number: __________________

Address: _________________________________________________________

Email: ___________________________________________________________

Payment Selection:

   o   Check enclosed (please make payable to the Boys & Girls Clubs of Fort Wayne)

   o   Please send invoice to the business listed above, Attn _____________________

   o   I cannot participate, but would like to contribute! _________________________

   o   Please charge credit card (you can visit our secure website to pay by credit
       card online)

(Circle One): VISA / MasterCard / American Express / Discover

Credit Card Number: _____________________________ Exp. Date: _______

Signature: _______________________________________ Date: __________

Sponsorship Total: $__________________

Please email, fax or mail to:
      Boys & Girls Clubs of Fort Wayne
      Attn: Shannon Brennan
      2609 Fairfield Avenue
      Fort Wayne, IN 46807-1294
      Phone: 260-744-0998 ext. 19
      Fax: 260-745-1091                          Thank You for your Donation!
Golf Outing June 15, 2009
Check all that apply.

Company logo must be emailed to by June 1st to be included on tee box.

Please fill out and fax to 260-745-1091 by June 8, 2009

TEAM NAME_____________________________________________________________

TEAM CAPTAIN __________________________________________________________

CAPTAIN CONTACT NUMBER ________________ EMAIL _____________________________

TEAM MEMBER 2:________________________________________________________

TEAM MEMBER 3:________________________________________________________

TEAM MEMBER 4:________________________________________________________

I cannot provide a cash donation or a team to play, but I would like to provide the following item(s) for
giveaway or use. The value of the item(s) is also listed below after the list of item(s).



___________________________________________________________________Value $_________________

Fax Form to: Shannon Brennan 260-745-1091
Email to:
Or Mail Form & Donations to:
Boys & Girls Clubs of Fort Wayne
2609 Fairfield Ave.
Fort Wayne, IN 46807-1294
For Questions, Call 260-744-0998 ext. 19

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