2015 IALF GOLF CLASSIC & REUNION SPONSORED BY MONDAY, JUNE 29, 2015 - EDGEWOOD GOLF COURSE Please complete the following Registration Form and mail with payment by Friday, June 12, 2015 Please complete the following Registration Form and mail with payment by Friday, June 12, 2015 RESERVATIONS SPONSORSHIPS Golf & Dinner ............................ $145.00 Trap Shooting & Dinner..….…. $ 80.00 Dinner Only ............................... $ 45.00 Golf & Dinner:________# of reservations @ $145 each _____Hole Sponsor……………..……………….$150.00 _____Skills Challenge Sponsor…………..…...$150.00 _____Hole-in-One Sponsor…...……………..…$200.00 Trap Shoot & Dinner: _______# of reservations @ $ 80 each RAFFLE TICKETS Dinner Only:_________# of reservations @ $ 45 each Enclosed is $____________made payable to the Illinois Agricultural Leadership Foundation Payment with VISA/MasterCard/American Express/Discover or PayPal - log on to the website: www.agleadership.org and follow payment instructions Name:______________________________________ Address: ____________________________________ ___________________________________________ Phone: _____________________________________ Email: ______________________________________ _____Raffle Tickets for Lawn Tractor … 1 for $20.00 or 6 for 100.00 Please accept my contribution of $___________ made payable to the Illinois Agricultural Leadership Foundation for the above raffle tickets and/or sponsorship. Sponsor’s Name: ________________________________ Company: ______________________________________ Address: _______________________________________ Phone: _________________________________________ Signage Wording: ________________________________ _______________________________________________ All sponsors will receive recognition through signage at the outing and a listing in the dinner program booklet . ____ I am registering as a foursome ____ I am registering these people for the trap shooting ____ Please pair me/us with another group Foursome Members: E-Mail Address 1. _________________________________________ 2. _________________________________________ 3. _________________________________________ 4.__________________________________________ PROVIDE AN AUCTION ITEM I would like to donate __________________________ to be used for the live or silent auction. Please contact me at: Name:________________________________________ Company:______________________________________ Email or Phone: ____________________________________ PLEASE RETURN THIS FORM All payments by check should be mailed to: Illinois Agricultural Leadership Foundation, 402 N Hershey Road, Bloomington, IL 61701 Please Note: The event will go on “rain or shine”. If golf is not possible the dinner and other activities will be at the same location. We thank you for your contribution to the Foundation.