Registration Form Golf Outing Entry Form

Registration Form
Name_____________________________
Spouse/Guest Name__________________
_________________________________
Company Name_____________________
_________________________________
Address___________________________
City______________________________
State____________ Zip_______________
Phone_____________________________
*Sponsorship Opportunities
25th Anniversary Sponsor
Call for exclusive opportunity
Platinum-$3,000
Includes registration for foursome,
sponsorship of Dinner
Diamond-$2,000
Includes registration for foursome,
sponsorship of Breakfast
Gold-$1,200
Includes registration for twosome,
sponsorship of beverage cart
Silver-$600
Sponsorship of Closest to the Pin, Longest
Putt or Longest Drive
Bronze-$300
Sponsorship of Golf Hole
All sponsors will be recognized in
Car Lines
Fax_______________________________
Registration and Sponsorship*
Totals
Dinner - $95/Person
______
Platinum Sponsorship - $3,000
______
Diamond Sponsorship - $ 2,000
______
Gold Sponsorship - $1,200
______
Silver Sponsorship - $ 600
______
Total Enclosed
Participants Names:
1. _________________________________
Company __________________________
2.________________________________
Company___________________________
3._________________________________
Company___________________________
4._________________________________
Company_______________________ ___
All golfers must have entry fees paid
by August 31.
___Money Order/Check Enclosed
Fax Registration - CREDIT CARD ONLY
219.663.5294
Breakfast, Golf, &
Bronze Sponsorship - $ 300
Golf Outing
Entry Form
___Visa
___MasterCard
Card No.______________________
Expiration Date__________________
Name on Card (please print)
___________________________
______
Card Holder’s Signature
______
___________________________
Phone: 800.310.3112
Please send entry fee to:
Indiana Independent Auto Dealers Association
P.O. Box 1393
Crown Point, IN 46308
2012 IIADA Annual
Golf Tournament
& Awards Day
Breakfast & Registration - 9:00 am
Shotgun Start -10:00 am
After Golf Dinner
Ironwood Golf Club
10955 Fall Road, Fishers, IN
317.842.0551
Our 2012
“Joe Krier Quality Dealer
Award” winner will be
announced.
2012 A NNUAL
G OLF T OURNAMENT
A ND
A WARDS D AY
Sunday, September 9 th
Ironwood Golf Club
Fishers, IN
Directions to Ironwood
Take 1 69 exit 5 (116th Street exit). Go
east 2 1/2 miles to Hoosier Road.
Turn Right at Hoosier Road.
Take the next right into Ironwood Golf
Club.