Charity Golf Tournament

Thursday, October 11, 2018
Registration: 10:30 am
Shot Gun Start: 12:30 pm

Loudoun Golf & Country Club
36967 W. Main St.
Purcellville, VA 20134
loudoungolf.com

Benefiting Loudoun Impact Fund

Sponsors will be recognized in the event program, on signage at registration and at the awards dinner following the tournament.
Diamond Sponsor - $5,000 RESERVED
• Exclusive Dinner Sponsorship and Four Golfers
• Name listing and link on AHT’s golf tournament web page

Platinum Sponsor - $2,250 RESERVED
• Exclusive Lunch Sponsorship and Four Golfers
• Name listing and link on AHT’s golf tournament web page

Gold Sponsor - $1,375
• Tee and Green Sponsorship and Four Golfers
• Name listing and link on AHT’s golf tournament web page

Silver Sponsor - $1,100
• Tee or Green Sponsorship and Four Golfers
• Name listing on AHT’s golf tournament web page

Emerald Sponsor - $825
• Golf Cart Sponsorship or Cocktail Hour Sponsorship (Sign on each cart)
• Name listing on AHT’s golf tournament web page

Sapphire Sponsor - $550
• Beverage Cart Sponsorship or Driving Range Sponsorship or Program Sponsorship or Tee and Green Sponsorship
• Name listing on AHT’s golf tournament web page

Ruby Sponsor - $275
• Tee or Green Sponsorship
• Name listing on AHT’s golf tournament web page

Golfer - $210
Company Name as you wish it to appear

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* 1. Company Name as you wish it to appear

Contact

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* 2. Contact

Address

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* 3. Address

Email

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* 4. Email

Phone

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* 5. Phone

Golfer #1

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* 6. Golfer #1

Golfer #2

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* 7. Golfer #2

Golfer #3

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* 8. Golfer #3

Golfer #4

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* 9. Golfer #4

Sponsorship/Golfers

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* 10. Sponsorship/Golfers

Total Amount Due

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* 11. Total Amount Due

Door Prize Donation (Amount or Item)

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* 12. Door Prize Donation (Amount or Item)

Credit Card Number

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* 13. Credit Card Number

Type of Card

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* 14. Type of Card

Expiration Date

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* 15. Expiration Date

Date
CVV

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* 16. CVV

Name on Card

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* 17. Name on Card

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