Contact Name: _________________________________

Company: _____________________________________

Address: ______________________________________

City: __________________ State: ____ Zip: _______

Phone: ________________________________________

E-mail: ________________________________________

□Please include me in your Email list

PLAYERS

1. Name _______________________________________

2. Name _______________________________________

3. Name _______________________________________

4. Name _______________________________________

SPONSOR REGISTRATION

I would like to sponsor the Union Hospital Golf

Tournament at the following level:

□ Eagle □ Hole Sponsor

□ Birdie □ Prize Sponsor

□ Par □ Cart Sponsor

□ Reception Sponsor □ Gift Bag Sponsor

My check for $ is enclosed.

I cannot be a sponsor this year but my gift of

$ is enclosed.

Single Registration: $200/golfer — Please remit by Fri., Aug. 22

PAYMENT INFORMATION

Please circle one: □Visa □MasterCard □AMEX

Card Number: __________________________________

Expiration Date: ___/___ Card Security Code: ________

Signature: ______________________________________

Please make checks payable to:

Union Hospital Foundation

147 West High Street, Elkton, MD 21921

Attn: Golf Tournament 147 W

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Sponsorships with Foursome Packages

EAGLE $2,500

One foursome

Premium golf balls, pack of 12 for each golfer

Golf glove for each golfer

Company name or logo on a 4 foot sign at the

driving range or putting green

Listed in all printed advertisements, program

and on our website

Company name or logo on Foundation website

Recognition at the awards reception

BIRDIE $1,500 One foursome

Golf glove for each golfer

Company name or logo on a 3 foot sign at the

driving range or putting green

Listed in all printed advertisements, program

and on our website

Recognition at the awards reception

PAR $1,000 One foursome

Company name or logo on a 2 foot sign at the

driving range or putting green

Listed in all printed advertisements, program

and our website

Sponsorships

PRIZE SPONSOR $1,000

Company’s logo on multiple prizes given

to winning foursomes

Recognition in printed advertisements,

program, and website.

GOLF CART SPONSOR $750

Company’s logo and name on every cart

used by the participants in the tournament

Recognition in printed advertisements

and program.

GIFT BAG SPONSOR $750

Company logo on participating golfers

gift bags

Recognition in printed advertisements

and program

RECEPTION SPONSORS $500

Company banner displayed

Recognition in printed materials

Recognition from the podium during the

awards presentation

HOLE SPONSOR $ 200

Company name prominently displayed at

the tee box or green

Recognition in printed materials

HIGHLIGHTS

Gifts for all players

Longest Drive & Straightest Drive

prizes for men & women

Additional Hole-In-One Prizes at

selected Par 3’s

The Roll the Dice to Drive Game

SCHEDULE

All golfers will receive a Gift Certificate for a

FREE round of golf with cart!

Just want to register as a single golfer? $200 per person

September 23, 2016