Sponsorship Sign-Up

 

Company Name :_____________________________________________________

 

 

First/Last Name: _________________________________________________                    Title:___________________________

 

City:______________________________________State:____________Zip:__________________________

 

E-mail:_____________________________________Phone:_______________________________________

 

 

Mark X in Selected Desired Sponsorship Below

 

 

___Title  Sponsorship  Level  - $50,000

 

___Beverage Cart Sponsor - $2,500

 

___Gold Sponsorship Level  -  $25,000

 

___Long Drive Sponsor - $1,500

 

___Silver Sponsorship Level  - $10,000

 

___Hole Sponsor  -  $350

 

___Bronze Sponsorship Level - $3,500

 

 

    

Make Checks Payable to:

Pat Dempsey Charities Inc.

 

OFFICE: 818.300.3615             FAX: 818.951.6884

PayPal Payments: pat@patdempseycharities.org

 

MAIL: Registration Form & Payment to:

Pat Dempsey Charities Inc.

10651 Johanna Ave.

Sunland,  CA. 91040

Method of Payment

Amex     Visa      MC        PayPal       Check    *

 

Name on Card

 

 

Card #

 

 

 

Exp. Date:                                               Security Code:

 

___Donate Only – (any $$$ amount)

 

___Foursome - $2,000 

       

___Single Player - $500

 

___Dinner Extravaganza - $200