4th Annual Lukas’ Fund Golf Scramble             Return to Home Page

Saturday, October 6, 2007 at 9 am at Chimneys Golf Course

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Sponsor Application

I want to be a:  
___ Title sponsor ($1500, 8 players)    ___ Gold sponsor ($750, 4 players)    

___ Silver sponsor ($400, 2 players)   ____ Hole sponsor ($250, 1 player)
I would like to donate a prize or gift certificate: ____________________________
Business Name: _________________________________   Phone: _________________
Address: ________________________________________City: ____________________
State: ________  Zip: __________  Email: _____________________________________

Please list any players for your team below (see above for the number of players per sponsorship) and send this entire form, check, and any prizes or gift certificates to the address below. Or, feel free to email or call us for pick-up.

____________________________________________________________

Player and Team Application

 

___ I would like to enter a team: $360 per team

___ I would like to enter 1 to 3 individuals: $100 each

 

Player 1 name: _________________________________Email: _____________________

Player 2 name: _________________________________Email: _____________________


Player 3 name: _________________________________Email: _____________________


Player 4 name: _________________________________Email: _____________________


Make check payable to:  Lukas’ Fund Inc., a tax exempt 501(c)3 organization
Please mail this form with your donation and/or check (payable to Lukas Fund Inc) to: 

                        Lukas’ Fund Inc., 150 Yonah Avenue, Athens GA  30601
For information please contact: Dr. Mark Ebell (706-340-2724, or mebell@mcg.edu)

Fax (toll-free): 866-349-3527     Web site: www.lukasfund.org    E-mail: info@lukasfund.org