2010 Sponsor Form

Home

Details

Our Sponsors

2010 Sponsor Form

Printable Sponsor PDF Form

* Required fields
Name *
E-mail Address *
Company Name *
Authorized Representative:
Street Address
City
State
Zip Code
Telephone
Please check the appropriate box: *	Platinum Sponsor: $1,500 Lunch Sponsor: $800 Flag Sponsor: $700 (New this year) Gold Sponsor: $500 Putting Contest Sponsor: $500 Long Drive Sponsor: $500 Silver Sponsor: $150 Supporter: $75 Send business card to address below. Donor: Make a check for any amount.
How will you be paying for your sponsorship? *
Questions and Comments

I have read and agree to the Privacy Policy *

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:

"Note" the privacy policy MUST be checked before you submit this form!

Please make your check, payable to: Friends of the Merrimac Council on Aging and send to:

Sponsorship confirmation and payment must be received by July 18, 2009 to ensure enough time for sign printing.

PLEASE ONLY SUBMIT ONCE. Allow time for the form to finish submitting please!

# of golfer/hacker visits to this site

Call the Merrimac COA at (978) 346-9549 or Hackett Retirement Solutions
at (978) 499-9400 for more information.