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Platinum Sponsorship - $4,500 includes:
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Two four-person teams (8 Players)
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Company / Name / Logo in the Souvenir Book
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Company / Name / Logo in the Tournament Banner
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Company / Name / Logo on two 8“x24” Hole Signs
​
​
Gold Sponsorship - $1,200 includes:
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Two four-person teams (8 Players)
-
Company / Name / Logo on one 8“x24” Hole Sign
​
Silver Sponsorship - $600 includes:
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One four-person team (4 Players)
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Company / Name / Logo on one 8“x24” Hole Sign
​
Hole Sponsorship of $100 includes:
-
Company / Name / Logo on one 8“x24” Hole Sign
Golf Registration and Sponsorship Form
Platinum Sponsorship $4,500
Gold Sponsorship $1,200
Silver Sponsorship $600
Hole Sponsorship $100
Name of Group Leader/Player
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​
Street Address, City, State, Zip Code
Phone
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Names of other members of the foursome
​
Event Details
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Four Person Scramble
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11:30AM Registration - 1:00PM Shotgun Start
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Men and Women Team Prizes
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Pot of Gold
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Longest Drive both Men & Women Prizes
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Closest to the Pin both Men & Women Prizes
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50/50 Raffle Tickets for purchase
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Mulligans for Purchase
Fee Schedule:
Cost:
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$100.00 per golfer paid by June 20, 2021
$110.00 after
-
$400.00 for Foursome paid by June 20, 2021
$440.00 after
Payments:
Complete this Registration and Sponsorship Form.
Make your check payable to Jason L. Simpson
Memorial Scholarship Fund. Mail Form and payment
to:
Jason L. Simpson Memorial Scholarship Fund
442 W. Hamilton Street #1215
Allentown, PA 18105-1215
Golf Mail-In Registration and Sponsorship Form






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