Please cut and return with your reply
Enclosed is a check for a ( ) $2,000 Platinum ( ) $1,000 Gold ( ) $500 Silver ( ) $250 Bronze Sponsorship.
Please charge to Mastercard/Visa # ______________________________, Expiration Date ________________
Name ___________________________________________________________________________________
Company: ________________________________________________________________________________
(Please list name as it should appear on sign and in publicity.)
Address: ____________________________________________ City/State/Zip ________________________
Phone:______________________________________________ Email:_______________________________
Return Receipt Requested: ______ Yes ______ No Fax #: ______________________________________
Web link for web site: _________________________________ (If Platinum or Silver please e-mail company
logo to
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if different from last year or new sponsor.)
If Platinum, Gold or Silver level, please indicate names of those to apply covered memberships:
Platinum Gold Silver
1. ___________________ 1. ______________________ 1. _____________________
2. ___________________ 2. ______________________
3. ___________________
4. ___________________
5. ___________________
Please mail or fax form and payment to the address below.
ALABAMA GOLF COURSE SUPERINTENDENTS ASSOCIATION
PO Box 661214 . Birmingham, AL 35266-1214
(205) 967-0397 . Fax (205) 967-1466
E-mail:
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. Web Site: agcsa.org