Team/Player Application
Team Name: ______________________
Player 1 – Team Captain
Name:
Address:
City/State:
Day Phone:
2016 Sponsors:
Platinum Sponsors
Accenture
HCL America
IBM
Patti and Dave Kepler
Microsoft
SAP
Diamond Sponsors
Tata Consultancy Services
Gold Sponsors
Player 2
Name:
Address:
City/State:
Day Phone:
EY
Fisher Contracting Company
Stanford LP Gas, Inc
Stolz-Smith Financial Consulting Group
of Wells Fargo Advisors
Player 3
Name:
Address:
City/State:
Day Phone:
Bierlein Companies, Inc.
Bri-Car Roofing & Sheet Metal, Inc.
Chemical Bank
Oracle Corporation
Servinski Sod Service, Inc.
Valley Electrical Contractors, Inc.
Player 4
Name:
Address:
City/State:
Day Phone:
Team with tee sign $500.
Team only $400.
Registration Deadline Is May 25
Silver Sponsors
Cancer Services has provided cancer
support and services to local families since
1948. ALL proceeds from this event directly
benefit cancer patients and their families in
our community
220 W. Main Street
Suite 105
Midland, MI 48640
Phone: 989.835.4841
Fax: 989.832.5544
www.cancerservicesmidland.org
17th
Annual
Golf
Challenge
Sandy Ridge Golf Course
Thursday, June 1, 2017
We are proud to announce the 17th
Annual Golf Challenge with all
proceeds going to provide personal,
compassionate support to cancer
patients and caregivers in our
community.
Sponsor or sign up your
foursome today! Act now as
this event fills up fast.
9 a.m. – 10 a.m. Registration
10 a.m. Shotgun Start
Your local
cancer agency
Team/Player Information
Sponsors
4-Person Scramble
Platinum
Public Welcome
Sandy Ridge Golf Course
Thursday, June 1, 2017
9 a.m. Registration
10 a.m. Shotgun Start
Includes Fun and Games, Plus:
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Breakfast – Courtesy of Tim Horton’s
Lunch
Dinner
Golf Cart
Hole-in-One Contests
Prizes
Awards
$400 per team
($240 tax-deductible)
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$500
Recognition in promo materials
Sign at the clubhouse
Sign on tee box
Hole
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$1,000
Recognition in promo materials
Sign at the clubhouse
Sign on tee box
Silver
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$2,500
Recognition in promo materials
Sign at the clubhouse
Sign on tee box
Two free players
Gold
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$5,000
One free four-player team
Top billing in all promo materials
Sign at the clubhouse
Sign on tee box
Recognition in Cancer Services
newsletter and website
Diamond
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Sponsorship
Please indicate level of
sponsorship
Diamond Sponsor ($2,500 and up)
Gold Sponsor ($1,000 and up)
Silver Sponsor ($500 and up)
Hole Sponsor ($200 and up)
Include dedication:
Donor (any amount is appreciated)
Business Information
Business:
Address:
City/State:
Contact:
Phone:
Email:
Method of Payment
Check*
MasterCard
Visa
American Express
$200
Recognition in event program
Sign on tee box
Name on Card
SPECIAL
$500
4-Person team plus tee sign
Dedicate a tee sign to a loved one
or business.
Dedication
Dedicate a tee sign to honor or
memorialize a loved one. Your tee
sign will be made out as you request
on our form.
Card Number
Exp. Date
*Checks made payable to Cancer Services
Tee Sign Deadline Is May 23
Sponsorship information and payment
must be received by May 23, 2017, to be
guaranteed advertising recognition and
tee signs.