Entry Form 2-Man Team ($250 per player) 1st Player _________________________________________________________ Phone / Hdc _________________________________________________________ 2nd Player _________________________________________________________ Phone / Hdc _________________________________________________________ Platinum, Classic, Wog ($5000, $2500, $1250) Team 1 Team 2 1st Player _________________________________________________________ Phone / Hdc _________________________________________________________ 2nd Player _________________________________________________________ Phone / Hdc _________________________________________________________ Team 3 Team 4 1st Player _________________________________________________________ Phone / Hdc _________________________________________________________ 2nd Player _________________________________________________________ Phone / Hdc _________________________________________________________ Team 5 Team 6 1st Player _________________________________________________________ Phone / Hdc _________________________________________________________ 2nd Player _________________________________________________________ Phone / Hdc _________________________________________________________ The Course #___________ T-Signs at $100 each Total $ ___________________ #___________ Cart Signs at $500 each Total $ ___________________ #___________ Contest at $500 each Total $ ___________________ Sign Information Company Name _________________________________________________________ Phone, Address or One Line Message _______________________________________ Detach Entry Form and Mail to: The Polywog Charity Invitational Total Amount $ _______________________________ 19 Lincoln Avenue South Please make checks payable to: PolyWog Golf Invitational St. Petersburg, FL 33711 61st Annual Polywog Charity Golf Invitational Presented by The Thoreson Foundation Sponsored by March 10, 2014 at the St. Petersburg Country Club Benefiting 5 local charities: The Children’s Dream Fund; R’Club Child Care Inc. The St. Petersburg Free Clinic; All Children’s Hospital & The 1st Tee of St. Petersburg Sponsorship Opportunities: $5,000 PLATINUM SPONSOR • 6 twosomes for golf • Recognition in tournament program • Hole sign on course; logo on all printed material • Recognition banner $2,500 CLASSIC SPONSOR • 4 twosomes for golf • Recognition in all tournament activities • Hole sign on course • Recognition banner $1,250 THE WOG • 2 twosomes for golf • Recognition in all tournament activities • Hole sign on course $5,000 AWARDS BANQUET SPONSOR • Recognition as a sponsor at this event $3,000 LUNCHEON SPONSOR • Recognition as a sponsor of this event $500 CONTEST SPONSOR (Hole–in-One; Closest-to-the Pin; Long Drive; Putting) • Sign at contest location $500 BEVERAGE CART SPONSOR • Sign on beverage cart $100 TEE SPONSOR • Sign on tee I WISH TO MAKE AN OUTRIGHT GIFT TO THE POLYWOG CHARITY INVITATIONAL $_________ Golf Twosome Fee………. $500 Golf Individual Fee……… $250 For sponsorship or information please call Mark Chmielewski at 727-278-4523 or e-mail: [email protected] visit www.thepolywogs.org The Polywogs Charities Inc. 501-(c) 3
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