ST. MARY'S HOSPITAL FOUNDATION 9TH ANNUAL GOLF TOURNAMENT SATURDAY, SEPTEMBER 6, 2014, SUNSHINE COAST GOLF & COUNTRY CLUB

HOLE SPONSOR INFORMATION FORM

Thank you for choosing to be a part of this fun and very worthwhile event. Please complete and submit the information below or call Sheena Macdonald at 604.885.8637 if you have any questions.

COMPANY NAME: ______

CONTACT NAME: ______E-MAIL: ______

MAILING ADDRESS: ______

OFFICE PHONE: ______CELL/OTHER: ______

SPONSORSHIP LEVEL (CHECK ONE): ___ Practice Putting Green Sponsor $800 ___ Hole in One Sponsors $500 ___ Flag Stick Sponsors $300 ___ Entire Hole Sponsors (pin exclusive) $500 ___ Tee Box Sponsors $250 ___ In Kind Gifts (Retail value of $1,800 or more) ___ Raffle Prize Donation (Minimum retail value $200)

CHEQUE AMOUNT: ______

Note: Online golfer registration will be available shortly. Watch our website at: www.stmhf.org for details.

PLEASE MAIL THIS FORM ALONG WITH YOUR SPONSORSHIP CHEQUE MADE PAYABLE TO "ST. MARY'S HOSPITAL FOUNDATION” TO:

St Mary's Hospital Foundation PO Box 1761, Sechelt, BC VON 3A0

Thanks again,

Dr. Dan Dolden, Director Chair, Golf Committee St. Mary's Hospital Foundation