Ad Relief of Greater Los Angeles

Registration Form

Golf Day 2013
Tuesday, September 10, 2013
Moorpark Country Club
Download printable registration form

Please indicate what your company will sponsor below:

Premiere Sponsorship - $15,000SOLD
Awards Dinner Sponsor - $8,500
Cocktail Sponsor - $5,500 SOLD
Lunch Sponsor - $5,500 SOLD
On-Course Water Sponsor - $5,500
Golf Ball Sponsor - $5,500
Photography Sponsor - $4,500
Sign Sponsor - $4,500SOLD
Golf Cart Sponsor - $4,000 each
On-Course Beverage Sponsor - $4,000 each
Wine Sponsor - $3,500
Hole-In-One Sponsor - $3,500
Breakfast Sponsor - $3,500

Executive Sponsor - $2,600
Tee Box Sponsor - $1,500 each
Driving Range Sponsor - $1,500
Contest Sponsor - $1,500 each
Golf Clinic Sponsor - $1,750 each
Sunscreen Sponsor - $1,500SOLD
Shadys Sponsor (Playing) - $800
Shadys Sponsor (Non-Playing) - $1,000
Individual Playing Spot - $750
Tee/Greens Sponsor - $250
Pin Flag Sponsor - $150
Additional Awards Reception Ticket - $100

Entry Fee includes:
2 Mulligans, Putting Contest, Tee Gifts, Breakfast, Lunch & Dinner, Hosted Cocktails, Cash Raffle Entry, Closest to the Pin Contests and Hole-In-One Contest.

My total is $

Payment information

Check payable to Ad Relief to be mailed to:

Ad Relief
c/o Events With A Mission
11700 National Blvd, Suite L #125
Los Angeles, CA 90064

Please charge my credit card: Amex Visa Mastercard

Credit Card Number:

Expiration Date: /

Signature:

Sponsor Contact Name:

Email:

Phone:

Please list your players below:

PLAYER #1 Name Company Name Address City, State, ZIP Phone Fax Email Address Shirt Size: Handicap/Index:	PLAYER #2 Name Company Name Address City, State, ZIP Phone Fax Email Address Shirt Size: Handicap/Index:

PLAYER #3 Name Company Name Address City, State, ZIP Phone Fax Email Address Shirt Size: Handicap/Index:	PLAYER #4 Name Company Name Address City, State, ZIP Phone Fax Email Address Shirt Size: Handicap/Index:

Comments/Questions (optional):

Please note no refunds will be issued once form is submitted.

Please fax to: 310-943-0340
Contact: Nicole Levitt at 310.397.7830 Email: nicole@adrelief.org
11700 National Blvd, Suite L #125, Los Angeles, CA 90064