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2012 Regional Chairs’ Charity Golf Tournament Registration and Sponsorship Form Send completed form to: Office of the Regional Chair, Niagara Region, 2201 St. David’s Road, PO Box 1042 Thorold, Ontario L2V 4T7 Fax: 905-685-6243 or e-mail to chair.tournament@niagararegion.ca Register online at www.niagararegion.ca/chair For more information call: 905-685-4225 ext.3484 Supporting Levels

Diamond $15,000

Platinum $6,500

Gold $3,000

Silver $1,500

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Corporate Foursome $1,600

Please check one: Supporting level includes: Logo displayed on Ussher’s Creek or Battlefield course Income tax receipt; Recognition in the 2013 brochure that is distributed to over 350 companies Logo placed prominently on the Niagara Region Golf Tournament web page Logo prominently displayed at lunch and dinner buffet Logo displayed on participant’s golf carts on Ussher’s Creek or Battlefield course and professional foursome photos on that course Lunch, 18 holes of golf, golf cart, buffet dinner and tournament gift for four; Recognition on “day of” brochure Logo present on all tournament literature and signage

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q I would like to donate the following auction or raffle item: Showcase Opportunities

q I would like my service/product highlighted. Commitment will include a valued takeaway for each participant. q

e.g. a tangible token, product or service sample. Contact the office to discuss further. I would like to sponor a corporate competition.

Company: Contact: Title: Address: City: Postal Code: Phone: E-mail: Payment Options

q Cheque - payable to the Regional Chair’s Golf Tournament q Visa q MasterCard Credit card #: Signature:

Expiry:


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