Pittsburgh Association of Health Underwriters’ 17 Annual Golf Outing th May 14, 2015 | Lindenwood Golf Club Sponsorship Form Diamond Sponsor..........$3,000 Diamond includes 4 foursomes, 3 tee signs, prominent display of company banner (banner is provided by carrier), full page ad in program and special recognition during award ceremony. Platinum Sponsor..........$2,000 Platinum includes 3 foursomes, 2 tee signs, prominent display of company banner (banner is provided by carrier), full page ad in program. Gold Sponsor..........$1,100 Gold includes 2 foursomes, 2 tee signs, prominent display of company banner (banner is provided by carrier), and special recognition in our program. Silver Sponsor..........$600 Silver includes 1 foursome, 1 tee sign, and recognition in our program. Bronze Sponsor..........$150 Bronze includes 1 tee sign, and recognition in our program. Prize Sponsors...................................$500 Happy Hour Sponsor......................$400 Hole In One Sponsor.......................$300 Please list your information below as you would like it to appear in our program. We appreciate your support. Name: _____________________________________________________________________ Company: __________________________________________________________________ Address: ___________________________________________________________________ City: ____________________________________________ State: _____ Zip: ___________ Phone: ____________________ E-mail: _________________________________________ Please make check payable to Pgh-AHU and mail to: P.O. Box 23124, Pittsburgh, PA 15222-6124 To pay by credit card please go to www.pgh-ahu.org and mail this form to the address above, indicating that you paid by credit card. * PayPal will not take American Express cards. Register Early - 2015 outing is limited to 100 golfers! Pittsburgh Association of Health Underwriters’ When: May 14, 2015 Registration: 8:00 - 9:45 am Where: 17 Annual Golf Outing ~ Registration Form ~ th * Please Note: This years event will start at 10:00 am Please circle Player 1 _______________________________________ Dinner Y / N Player 2 ______________________________________ Dinner Y / N $150 per person Player 3 ______________________________________ Dinner Y / N Type of Event: Player 4 ______________________________________ Dinner Y / N Lindenwood Golf Club Cost: 4 person Scramble 10:00 am Shotgun Start Price Includes: Team Prizes 50/50 Drawing Lunch & Dinner Method of Payment: Please make check payable to Pgh-AHU and mail with registration form to: Pittsburgh Association of Health Underwriters’ P.O. Box 23124 Pittsburgh, PA 15222-6124 To pay by credit card: 1. Go to www.pgh-ahu.org to make payment 2. Complete registration form and mail to address above 3. Indicate on registration form that you paid online with a credit card * PayPal will not take American Express cards. If you have any questions please contact: Dave Scott | 412.835.9100 *214 | [email protected] Parker Coffman | 412.592.5580 | [email protected]
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