Platinum Sponsor: $1500 Gold + Logo on Shirts

2013 SOUTHEAST TEXAS GOLF CLASSIC SPONSORSHIP FORM Iron Oaks Golf Club 8500 Brooks Rd, Beaumont, Texas Friday, May 17, 2013 4 Man Scramble – 1:00 p.m. Shotgun Start

 By submitting this form, you are committing to your chosen sponsorship level  Print Deadline: April 19, 2013  Payments by check can be made payable to the Alzheimer's Association  Questions? Contact Tammy Landry at 832.276.9045 or [email protected] Organization Information: Contact Name Organization Address City State Zip

Phone Email

Individual or Corporate name under which you would like to be acknowledged in printed materials:

Sponsorship Opportunities:

□Platinum ($2,500) Beverage Cart ($500) □ Team Registration ($400) □Gold ($1,500) □ □Silver ($1,000) □ Hole Sponsorship □ Individual Registration ($200) ($100)

Payment Information:

□ Check Enclosed □ Check will be mailed by tournament date, Signature □ Please Charge my: Visa | MasterCard | AMEX | Discover Card number Expiration

Name as it appears on the card

Signature Return this form to:

Tammy Landry @ Beaumont Health Care Center 795 Lindbergh Beaumont, Texas 77707 Phone: 409.842.2228 • Fax: 409.842.2874• E-mail: [email protected] The Alzheimer's Association is a 501 (c)(3) non-profit organization. (Tax ID#74-2198685)