*** Please return this portion by September 2nd ***

2016 Spud Software Scramble for GCPA The G enesee Count y Phar m aci st s Associ at i on’ s Fi ft h Annual G ol f O uti ng

FLINT ELKS GOLF CLUB FLINT ELKS LODGE 222 BANQUET FACILITY

SATURDAY, SEPTEMBER 10, 2016 REGISTRATION – 11:00 AM

RANGE & LUNCH – 11:00 AM

SHOTGUN START – 1:00 PM

DINNER & PRIZES AFTERWARDS

HOLE-IN-ONE FOR A NEW CAR!! Player Packages Basic Package - $90/golfer ($100 after Aug 19) • 18 holes of golf with cart use • Driving range use prior to tee time • Inclusion in competitions • One dinner ticket ($35 value) • One raffle ticket ($5 value)

Enhanced Package - $100/golfer ($110 after Aug 19) • All items in basic package • Two additional raffle tickets ($10 value) • Two mulligans ($20 value) • One yard of string ($5 value)

Featured Sponsor Opportunities Our Sign and Cart Sponsor options put your logo on every sponsor sign throughout the course or on every golfer’s cart. Or become a Program Sponsor and receive two free passes plus a full-page program ad. Please contact Mike Crowe at (810) 399-7589 or e-mail at [email protected] with questions.

7177 Maple Ave Grand Blanc, MI 48439

810.743.9440 flintelks222.com

Sponsorship Opportunities Proceeds to go toward GCPA events, including promotion of good public health policy, community events, and continuing education programs for local pharmacists and pharmacy technicians.

HOLE SPONSOR - $125

Includes one sign on course & inclusion in program.

DRIVING RANGE SPONSOR - $200

Includes two signs on range & inclusion in program.

CONTEST SPONSOR - $250

Includes one sign at contest hole, recognition during awards, name on prize, & quarter-page ad in program.

HOLE IN ONE CONTEST SPONSOR - $300

Includes one sign at contest hole, recognition at dinner, & one half-page ad in program.

DOOR PRIZE SPONSOR - $400

Includes promo materials in each golfer’s door prize bag, recognition at registration & one half-page ad in program.

DINNER SPONSOR - $450

Includes signage at every dinner table, recognition at dinner, & one half-page ad in program.

PROGRAM SPONSOR - $500

Includes space for company signage at registration and dinner, logo on front and back of program, full-page ad in program, recognition at dinner, & passes for two golfers.

CART OR SIGN SPONSOR - $750

Includes logo on every golf cart or sponsor sign, dinner recognition, & one full-page ad in program.

TITLE SPONSOR

We would like to extend a special thanks to our Title Sponsor, Spud Software. Please visit their website to learn more about their business. SpudSoftware.com

GOLFER #1: ________________________________ Company Name: _____________________________ Address: __________________________________ City: _________________State:___Zip:__________ Phone: ____________________________________ E-mail: ____________________________________ GOLFER #2: ________________________________ GOLFER #3: _________________________________ GOLFER #4: _________________________________ If you do not have a foursome we can place you in one.

Registration and Sponsorship Order Form  ______ Basic Package Golfer(s) ($90 ea.*)  ______ Enhanced Package Golfer(s) ($100 ea.*)  ______ Hole Sponsor ($125 ea.)  ______ Driving Range Sponsor ($200 ea.)  ______ Contest Sponsor ($250 ea.)  ______ Hole in One Sponsor ($300 ea.)  ______ Door Prize Sponsor ($400 ea.)  ______ Dinner Sponsor ($450 ea.)  ______ Cart/Sign [Circle One] Sponsor ($750 ea.)  ______ Major Sponsor ($750 ea.)  ______ Title Sponsor ($1,500 ea.)  ______ Extra Dinner Ticket ($35 ea.)  ______ Extra Raffle Ticket ($5 ea. or 3 for $10)  ______ Extra Mulligan ($10 ea.)  ______ Extra Yard of String ($5 ea.)

________ = TOTAL AMOUNT DUE *Add $10 per golfer if registering after August 19th Please make checks payable to: Genesee County Pharmacists Association



If Mailing, Mail Form and Payment to: Stephen Lott, GCPA Treasurer 4100 S. Saginaw St. Flint, MI 48507



 Register/Sponsor/Pay Online  jotformpro.com/geneseepharmacists/spudscramble

2016 Spud Software Scramble Registration Form.pdf

Register/Sponsor/Pay Online. jotformpro.com/geneseepharmacists/spudscramble. Page 1 of 1. 2016 Spud Software Scramble Registration Form.pdf.

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