Pittsburgh Association of Health Underwriters

Step #1 - Please provide the following contact information as a sponsor of the Pgh-AHU 2010 Golf Event:

	SPONSOR CONTACT INFORMATION:
Complete Name*
Organization
Street Address*
Address (cont.)
City*
State*
Zip Code*
Work Phone*
FAX
E-mail*

*Red Indicates Required Field

Please Select Your Level(s) of Support

Diamond Sponsor $ 3000 - Diamond includes 4 foursomes, 3 tee signs, prominent display of company banner (banner is provided by carrier), full page ad in program and special recognition, during award ceremony.

Platinum Sponsor $2000 - Platinum includes 3 foursomes, 2 tee signs, prominent display of company banner (banner is provided by carrier), full page ad in program.

Gold Sponsor $1100 - Gold includes 2 foursomes, 2 tee signs, prominent display of company banner (banner is provided by
carrier), and special recognition in our program.

Silver Sponsor $600 - Silver includes 1 foursome, 1 tee sign, and recognition in our program.

Bronze Sponsor $150 - Bronze includes 1 tee sign, and recognition in our program.

Lunch Sponsor $500

Happy Hour Sponsor $400

Beverage Cart Sponsor $350

Hole in One Sponsor $300

 

---

Platinum, Silver, & Gold Sponsors: Please list all members of your golf groups below.

Foursome No. 1 - Platinum, Gold, & Silver Sponsors

First & Last Name
Player 1	Handicap
Player 2	Handicap
Player 3	Handicap
Player 4	Handicap

Foursome No. 2 - Platinum & Gold Sponsors

First & Last Name
Player 5	Handicap
Player 6	Handicap
Player 7	Handicap
Player 8	Handicap

Foursome No. 3 - Platinum Sponsors Only

First & Last Name
Player 9	Handicap
Player 10	Handicap
Player 11	Handicap
Player 12	Handicap

Thank You!