Kyle Golberg Memorial Foundation Sponsor Name * Contact Person/Title * Address City State * Select State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Email * Tel Fax Select the Sponsorship Opportunities below * Gold Sponsorship - $5,000 Dinner Sponsorship - $2,500 Lunch Sponsorship - $2,500 Gift Sponsor - $2,500 Golf Ball Sponsor - $2,000 Cocktail Reception - $1,000 Refreshment Station - $1,000 Hole In One Sponsor - $750 Golf Cart Sponsor - $250 Tee Sponsor - $150 Journal Ad – 1/3 Page - $30 Journal Ad ½ Page - $50 Journal Ad Full Page - $75 Journal Ad Back Page - $150 Journal Ad Center Pages - $250 Foursome for Golf - $1,600 Twosome For Golf - $800 Individual Golf - $400 Dinner Ticket - $100 Lunch Ticket - $60 Enclosed is my check payable to Kyle Goldberg Memorial Foundation in the amount of $ Please charge my gift of total $ * Amex Visa MC Account Number * Exp. Date * (mm/yy) CVC Code * Name on Card * Signature * Proceeds from the Kyle Goldberg Memorial Foundation Golf Tournament benefit the Kyle Goldberg Memorial Foundation, Federal Tax ID # 203651214, a not-for-profit charitable organization as described under section 501(c)(3) of the Internal Revenue Code. Payments in excess of $355 per participant are tax-deductible. Player 1 Name Handicap Phone Number Email Address Player 2 Name Handicap Phone Number Email Address Player 3 Name Handicap Phone Number Email Address Player 4 Name Handicap Phone Number Email Address Please send this form and payment to: Kenneth Goldberg 65 W 36th St. | Ste. 600 | New York, NY 10018 e: info@2-save.org • p:212.244.8985 To register online visit: http://www.2-save.org/2017golf Submit