Western States Sign Council -­‐ Great Golf Ball Drop Sponsored by Elliott Equipment Company Who: Everyone! You do not need to be present to win! When: April 19, 2017 Where: Las Vegas National Golf Club Driving Range, Las Vegas, NV (in conjunction with ISA/WSSC Golf Tournament) How: For a contribution, you get a stake in one or more golf balls that will be dropped from a crane provided by Elliott Equipment Company over thĞĚƌŝǀŝŶŐƌĂŶŐĞ͘tŚŽĞǀĞƌ͞ĐŽŶƚƌŝďƵƚĞƐ͟ƚŚĞďĂůůƚŚĂƚĞŶĚƐƵƉĐůŽƐĞƐƚƚŽƚŚĞƉin wins! Grand Prize ʹ 25% of the sales! Second closest -­‐ 15% of the sales! Third closest -­‐ 10% of the sales! 1 Ball -­‐ $10 3 Balls -­‐ $20 10 Balls -­‐ $50 Yes! I want to participate in the Elliott Equipment Great Ball Drop! Name: ______________________________________________________________________________ Company: ____________________________________________________________________________ Email: _______________________________________________________________________________ Work Phone: ________________________________ Mobile Phone: ___________________________ Enclosed is my payment for (check appropriate box) __ $10/ 1 Ball __ $20/ 3 Balls __ $50/ 10 Balls ___ Check in USD payable to Western States Sign Council OR __ MasterCard __ VISA __ American Express __ Discover Credit Card #: ____________________________________ Exp. Date __/__ (mm/yy) SIC#:___ Cardholder Name: _______________________________________________________________________ Billing Address: ___________________________________________ City___________________ State__ Zip:_____ Signature: ______________________________________________________________________________ Sponsored by: Please submit form and fee to: Western States Sign Council Attn: Patti King 17235 N. 75th Avenue, Suite D145 Glendale, AZ 85308 Tel: (602) 375-­‐3909 Fax: (602) 789-­‐9126 Email: [email protected]