4th Annual Mesothelioma Charity Golf Tournament
4th Annual Mesothelioma Charity Golf Tournament
4th Annual Mesothelioma Charity Golf Tournament
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SPONSOR INFORMATION<br />
Name:_____________________________________<br />
Organization:______________________________<br />
Address: __________________________________<br />
City: ______________________________________<br />
State:_____________ Zip:____________________<br />
Phone:_____________________________________<br />
Fax:_______________________________________<br />
Email: _____________________________________<br />
The Breath of Life Foundation<br />
is a recognized 501 (c) (3)<br />
not-for-profit organization;<br />
Breath of Life<br />
Committee Members<br />
Gregory T. Revard<br />
William (Bud) Turner<br />
John Martin<br />
John Tesija<br />
Tom Dyl<br />
Steve Keller<br />
Tim O’Connell<br />
Skip Grigonis<br />
Bob Pope<br />
Jim Gribbins<br />
Dan Somenauer<br />
Megan Knoll<br />
Tina Jordan<br />
Pat Byrne<br />
<strong>4th</strong> <strong>Annual</strong><br />
<strong>Mesothelioma</strong><br />
<strong>Charity</strong> <strong>Golf</strong><br />
<strong>Tournament</strong><br />
Stonewall Resort<br />
940 Resort Drive<br />
Roanoke, WV 26447<br />
September 10, 2012<br />
Federal ID Number 36-4654499<br />
breathoflifefoundation.net
<strong>Golf</strong><br />
# of Players<br />
____ <strong>Golf</strong> @ $150.00 per player..............$__________<br />
List Names for Foursome:<br />
__________________________________________<br />
__________________________________________<br />
Program Book<br />
O Back Cover....................$ 7,500.00<br />
$________<br />
(this leπvel includes Hole Sponsor Sign & 2 foursome fees<br />
paid)<br />
O Platinum Full Page.....$ 5,000.00<br />
$________<br />
(this level includes Hole Sponsor Sign & 1 foursome fee paid)<br />
__________________________________________<br />
__________________________________________<br />
O Gold 1/2 Page..............$ 3,000.00<br />
O Silver 1/4 Page.............$ 1,500.00<br />
_$________<br />
_$________<br />
O Bronze 1/8 Page.........$ 750.00 _$________<br />
O Memorial Line.............$ 25.00 _$________<br />
<strong>Tournament</strong> shirt(s)<br />
____ @ $40.00...............................................$__________<br />
List size(s) M ___ L ___ XL ___ 2X ___ 3X ___<br />
(In memory of __________________________)<br />
Sponsor<br />
O Cart Sponsor...................................$ 1,000.00_______<br />
O Driving Range Sponsor...............$ 500.00_______<br />
O Putting Green Sponsor...............$ 500.00_______<br />
O Hole Sponsor..................................$ 400.00_______<br />
....................................................................<br />
Hole Signage to read:<br />
__________________________________________<br />
Send payment and logo/artwork to:<br />
Breath of Life Foundation<br />
c/o Insulators Local Union 80<br />
P.O. Box 806<br />
Winfield, WV 25213<br />
or you can email artwork in pdf format to:<br />
breathoflifefoundation@aol.com