Sponsor Confirmation Form

Confirmation of Sponsorship

Pro-Am Sponsorships:

PLATINUM TEAM (4 PLAYERS) $ 10,000.00

GOLD PLUS TEAM ( 4 PLAYERS) $ 8,000.00

GOLD TEAM (4 PLAYERS) $ 7,000.00

BRONZE (INDIVIDUAL PLAYER) $ 1,750.00

Other sponsorships are available, you may use this form for any sponsorship
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Date_______________

Type of Sponsorship_______________________________ Cost of Sponsorship_______________

Name of Company or Team__________________________________________AM or PM tee time

Address________________City________________________State_________________Zip___________

Office Telephone_______________________ Fax Number____________________________________

Billing Information:

Single Payment: ___ Check ___ Master Card ___ Visa

Monthly Invoices: ___Check ___ Master Card ___ Visa

Month to begin billing______________________________, Amount per month___________

Credit Card #___________________________________________ Expiration date_________

Signature of buyer_______________________________________________________

(Please Print Name)_____________________________________________________

Package Sold By________________________________________________________

Please scan and email to
Email: swn49@sbcglobal.net or jeana2629@yahoo.com
Or mail: WNB Golf Classic PO Box 3669 Midland Texas 79702
432-638-6997 or 432-967-1901

In order to secure a team in the 2013 Western National Bank Golf Classic
Tournament, we request the return of this form as soon as possible, your signature will guarantee your team’s spot in the Pro-Am. All teams need to be in place by
March 30 , 2013 to ensure requested time slots.
Thank you for your generosity!