3124 Argonne Drive, North Chicago, IL
Date:
______________________
From:
Name _________________________________________________________ Contact ________________________________________________________ Address________________________________________________________ Telephone # ____________________________________________________ E-Mail_________________________________________________________
Re:
Hole Sponsorship
I/We agree to purchase a Hole Sponsorship for the 2016 Golf Outing. Quantity 1
Description Hole Sponsorship
Price $100.00
Check #__________________ Check Amount $ _____________ You may email your request to purchase a hole sponsorship to Mjones@ waukegantownship.com and an invoice will be emailed/mailed to you. Please include the exact wording you would like printed for your Hole VISA MASTERCARD AMEX
DISCOVER
CC# EXP. DATE SECURITY CODE SIGNATURE
Sponsorship. Deadline for Hole Sponsorship is Friday, August 5, 2016. For more information contact Marc Jones at (847) 244-0805 or email mjones@waukegantownship.com. Please make checks payable to: Staben House/ Eddie Washington Center and mail to: 149 S. Genesee Street
Waukegan, Il 60085. The deadline for sponsorship is. August 5, 2016. _______________________________________________________________ Vendor Signature
___________________ Date