form - Hope Hall

2015 “High Hopes” Golf Tournament
Monday, June 29, 2015
SPONSORSHIP COMMITMENT FORM
(please print clearly)
Name ________________________________________________________________________________
Company Name ________________________________________________________________________
(as used for promotional purposes)
Address ______________________________________________________________________________
City ________________________________________ State ____________ Zip Code ________________
Email Address _________________________________________________________________________
Yes, sign my company/organization up for the following sponsorship level.
No, my company/organization is unable to sponsor the event; however, enclosed is a donation
in the amount of $________.
Enclosed/attached is a check payable to Hope Hall for the full amount.
Please charge $_________ to my: (please circle) MC VISA Discover American Express
Name as it appears on the card
____________________________________________________________________
Card number ____________________________________________ Exp. Date _______
Billing Zip Code _______________ CVV Code ___ ___ ___
Please
check
box
Sponsor Level
Amount
Eagle Sponsor
$7,500
Birdie
Please
check
box
Sponsor Level
Amount
$3,000
Dinner
$2,500
Par
$1,350
Beverage
$1,500
Bogey
$650
Cart
$2,000
Corporate
$350
Lunch
$1,000
Single-Hole
$200
Hole-in-One
$1,000
Foursome
$600
Scholarship
$750
Golf for One
$150
Tee Prize
$500
Dinner Only
$35
Golf Ball
$250
Other ___________
$
Total
$
$
Total
$
Description of In-Kind Contribution (gift certificates, product, services, etc.)____________
____________________________________________________________________
____________________________________________________________________
Value of In-Kind Contribution: $_________________________
Please mail completed form to: Christina Westmiller, Development Associate
Hope Hall, 1612 Buffalo Road, Rochester, NY 14624.
THANK YOU!