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Sponsor Registration

A place will be reserved for you when we receive this online form, and you will be officially registered as soon as we receive your check, made out to Franklin Community Health Network. To ensure listing in publicity materials, submit payment by May 31, 2008 to:

Healthcare Golf Classic
Franklin Community Health Network
111 Franklin Health Commons
Farmington, ME 04938

Or, register and pay immediately with your credit card, by printing out and FAXING back our Fax Back Registration Form (this is in PDF format, for which you will need to download Adobe Acrobat Reader, if it is not already installed on your computer.)

For more information, contact us.

Your Name

Your Email

Title Sponsor – Register 4 players and provide information for your introduction at luncheon and a color logo suitable for scanning. Please make your $3,500 check payable to Franklin Community Health Network.

Pin Flag Sponsor – Register 4 players and provide a color logo suitable for scanning. Please make your $2,000 check payable to Franklin Community Health Network.

Golf Cart Sponsor – Register 4 players and provide a color logo suitable for scanning. Please make your $2,000 check payable to Franklin Community Health Network.

Monday's Ceremony and Luncheon Sponsor – Register 4 players and provide information for your introduction at luncheon and a color logo suitable for scanning. Please make your $2,000 check payable to Franklin Community Health Network.

Platinum Team Sponsor - Register 4 players and provide a color logo suitable for scanning. Please make your $1,500 check payable to Franklin Community Health Network.

Sunday Reception and Awards Sponsor - Register 4 players and provide a color logo suitable for scanning. Please make your $1,500 check payable to Franklin Community Health Network.

Team Sponsorship - Register 4 players. Please make your $700 check payable to Franklin Community Health Network.

Breakfast Sponsor – Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Social Gathering Sponsor – Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Scoreboard Sponsor - Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Golf Pack Sponsor - Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Snack Cart Sponsor - Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Awards Sponsor - Register 1 player and provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Closest-to-Pin Sponsor – Provide a color logo suitable for scanning. Please make your $500 check payable to Franklin Community Health Network.

Hole Sponsorship – Provide us with a color logo suitable for scanning. Please make your $350 check payable to Franklin Community Health Network.

I would like to donate the following prize(s) to the tournament (please list and indicate value--someone will call me):

Sorry I can't play, but please accept my tax-deductible contribution of
$

Please provide information for each player you are registering:
(Player registration costs $150 per player)

Player 1:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

Handicap

Player 2:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

Handicap

Player 3:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

Handicap

Player 4:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

Handicap

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail
Handicap