Company Name

Sponsorship Amount Lead – $12,000 Gold – $5,000 Silver – $3,000 Bronze – $1,800

Designate Gift To Patient Support Fund Cancer Patient Help Fund Linda’s Fund Internal Grant Program

Please provide a copy of your company logo. *

How you would like your company name to appear (exact wording) in all print and public donor recognition

Check if your company wishes to remain anonymous

Person Authorizing Pledge *

Company Contact (Person to receive event related correspondence and invoices)

Name *

Address *

Email

Phone *

Please check if you are interested in attending our annual golf tournament and we will include you/your business in communication about the event.

All pledges are invoiced on the 15th of each month. If you would prefer a different date for pledge payment, please indicate here