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Perry County Memorial Hospital

The Don Etienne Memorial Golf Classic to benefit Perry County Memorial Hospital Foundation, Inc.

Perry County Memorial Hospital Foundation proudly announces the Don Etienne Memorial Golf Classic.

Monday, October 14, 2013

10:00 a.m. Registration Begins
10:30 a.m. Putting Contest Begins
12:00 noon Golfers Tee Off
4:30 p.m. Banquet and Awards

Registration and credit card information should be submitted by September 16th, 2013.

*Value received per golfer is: $50.00. Contact information: (Phone) 812-547-0153 or (Fax) 812-547-0372

2013 Levels of Sponsorship


Platinum $2,500
*Foursome
*4 Perry County Memorial Golf Shirts (please include shirt size for each golfer when registering)
*Host a Tee Privileges
*Driving Range Signage
*Signage at Registration
*Recognition During Awards Dinner
*Recognition on Platinum Sponsor Plaque at Perry County Memorial Hospital
*Name in 2013 Golf Classic Program
*Recognition and Web-link on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Registration Brochure
*4 Dinners at the Awards Banquet


Gold $1,250
*Foursome
*Tee Signage
*Driving Range Signage
*Recognition on Gold Sponsor Plaque at Perry County Memorial Hospital
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Registration Brochure
*4 Dinners at the Awards Banquet


Silver $650
*Foursome
*Driving Range Signage
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Registration Brochure
*4 Dinners at the Awards Banquet


Bronze $250
*Driving Range Signage
*Name in 2013 Golf Classic Program
*2 Dinners at the Awards Banquet


Lunch Sponsor (Limit 1) $1,500
*Foursome
*Tee Signage
*Exclusive Signage at Lunch
*Name in 2013 Golf Classic Program
*Recognition and Web-link on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure
*4 Dinners at the Awards Banquet


Dinner Sponsor (Limit 1) $1,500
*Foursome
*Tee Signage
*Exclusive Signage at Dinner
*Name in 2013 Golf Classic Program
*Recognition and Web-link on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure
*4 Dinners at the Awards Banquet


Putting Contest (Limit 1) $650
*Exclusive Signage at Putting Contest
*Two representatives from your company present to network with participants
*Signage at Registration
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure


Beverage Cart (Limit 2) $750
*Exclusive Signage on one Beverage Cart
*Two representatives from your company present to network with participants
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure
*2 Dinners at the Awards Banquet


Hole in One (Limit 1) $750
*Exclusive Signage at the 18th Hole Tee
*Two representatives from your company present to network with participants
*Signage at Registration
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure
*2 Dinners at the Awards Banquet


Closest to the Pin (Limit 1) $750
*Exclusive Signage at the Closest to the Pin Tee
*Two representatives from your company present to network with participants
*Signage at Registration
*Name in 2013 Golf Classic Program
*Recognition on Foundationís Webpage
*Recognition on Hospitalís Facebook Page
*Recognition in 2014ís Golf Classics Registration Brochure
*2 Dinners at the Awards Banquet


For limited sponsorship avaliablity please call 812-547-0153.

To register, please complete the fields below.
* Name
Name As It Appears On Credit Card
* Address
Address Where Your Credit Card or Bank Statements Are Mailed.
* City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code.
* Daytime Phone
Example: 205-752-5050
  Cell Phone
Example: 205-752-5050
* Type of Sponsorship
Please Specify Sponsorship Level (if applicable)
Team Information
Please list the names of the members of your foursome.
  Name 1 (for Platinum Sponsor please include shirt size)
  Name 2 (for Platinum Sponsor please include shirt size)
  Name 3 (for Platinum Sponsor please include shirt size)
  Name 4 (for Platinum Sponsor please include shirt size)
  Additional Dinners
  Comments or Messages Related To Your Donation or this Event
Billing Information
  I am unable to attend this tournament, but would like to contribute a donation to this worthy cause.
Only check here if you are NOT able to attending this event.
 
 
* Amount of Payment
Format: 45.67 (Include decimal and cents. Do not use a dollar sign.)
$
* Card Number
* Expiration Date
* Card Code Verification Number
The three digit number on the back of your card. (Four digit code on the front of American Express.)
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code