The 14 th Annual UNLV Physical Therapy Golf Tournament

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1 The 14 th Annual UNLV Physical Therapy Golf Tournament Please join us on Saturday, May 31, 2014, as the Class of 2015 hosts the 14 th Annual UNLV Physical Therapy Golf Tournament. We are proud to announce that the majority of the proceeds will be donated to the local organization, KIDDOS. The KIDDOS organization provides orthopedic care, orthotic bracing and prosthetic devices to patients whose families are not financially capable to provide their children with the necessary treatment. In addition, a small portion of the proceeds will go towards the purchase of study materials for the National Physical Therapy Licensure Exam for the students of the class of DATE: Saturday, May 31, 2014 GOLF COURSE: Las Vegas National Golf Club 1911 E. Desert Inn Rd, Las Vegas, NV REGISTRATION: 6:30 AM SHOTGUN START: 7:30 AM LUNCH START: 12:30 PM RAFFLE/AWARDS: 1 PM Please see the attached sponsorship form for ways you can participate as a sponsor and/or a player. If you would like to attend the reception only, a lunch package is also included on the sponsorship form. Proceeds from taxdeductible donations will benefit the University of Nevada, Las Vegas Physical Therapy Program. (Please Note: All tax deduction values are determined by the UNLV Foundations based on current tax codes and all contact information must be complete for the tax deduction receipt to be processed) (Tax ID number is RCE Exempt number is ) Please mail all paperwork to: University of Nevada, Las Vegas Department of Physical Therapy 4505 Maryland Parkway Box Las Vegas, NV For more information on the 14 th Annual UNLV Physical Therapy Golf Tournament, please see our website at us at or check us out on Facebook at UNLV DPT Golf Tournament! The Department of Physical Therapy and the Class of 2015 would like to thank you in advance, for your support and generosity. We value your contributions to the program and hope to make this a memorable event for everyone! Sincerely, UNLV Doctor of Physical Therapy Class of 2015

2 Participant Registration Form Deadlines for Registration and Payment: Early Registration before Tuesday, April 1, 2014 (Full Payment Must Be Received By Deadlines) Late Registration before Thursday, May 1, 2014 Individual Player ($125) Foursome ($475) All player, package and individual sponsorship prices increase by $50 for Late Registration, Prices include BBQ buffet dinner Name of player: address of player: T-shirt size: Company: Address: Contact Person: Contact Phone: Fax: I am unable to attend the 2014 UNLV Physical Therapy Golf Tournament, but I wish to make a contribution to the UNLV Department of Physical Therapy (see attached Raffle Prize/Donation Form). Enclosed is my tax-deductible check payable to the UNLV Foundations with Department of Physical Therapy in the memo in the amount of $. I am paying with a credit card (see attached credit card form).

3 Sponsorship Packages For your convenience, we have arranged sponsorship/participation packages. If you do not see a specific package that meets your needs, please contact us so we may accommodate reasonable requests for an individualized package. The Headliner Package $1500 Premier lunch sponsor including banner in buffet area* Logo printed on participant t-shirt Full page ad/coupon in program and participant gift bags 2 Foursomes of golf Tee sign AND pin sign 2 Lg Cheater Bags & 32 Raffle Tickets The Mr. Las Vegas Package $800 Full page ad/coupon in program* Foursome of golf Tee sign AND pin sign 8 raffle tickets Lunch $30 BBQ lunch for 1 1 raffle ticket (Price remains the same for early and late registration The King Package $1000 Full page ad/coupon in program* Foursome of golf Tee sign Pin sign 4 Lg cheater bags 28 raffle tickets The Rat Pack Package $600 Half page ad/coupon in program* Foursome of golf Tee sign OR pin sign 8 raffle tickets Monetary Donation In the amount of: $ All player, package and individual sponsorship prices increase by $50 for Late Registration, Prices include BBQ buffet dinner *Please arrange for us to have your banner(s), ad(s) and logo(s) by Thursday, May 1, 2014.

4 Individual Sponsorship Items & Fun Extra s (Please fill out company name, address, and contact information on the following page for tax exemption purposes!) INDIVIDUAL SPONSORSHIPS Hang Your Own Banner in the Buffet Area OR the Putting Green* $100 Half Page Ad/Coupon (4.25 x 5.5 in) In Program* $100 Company logo printed on back of participant t-shirt $125 Tee sign OR pin sign $150 Full page ad/coupon (8.5 X 5.5 in) in program* $200 Tee sign AND pin sign $225 *Please arrange for us to have your banner(s) and ad(s) by Thursday, May 1, All player, package and individual sponsorship prices increase by $50 for Late Registration, FUN EXTRAS Qty 1 Raffle Ticket = $1 OR 6 Raffle Tickets = $5 Total: $ Qty $5 Mulligans Total: $ Qty $5/yd Magic String Total: $ Qty $40 Large Cheater Bag (10yd magic string, 3 mulligans, 10 raffle tickets)^ Total: $ Qty $20 Small Cheater Bag (5yd magic string, 1 mulligan, 5 raffle tickets)^ Total: $ ^$50 Large Cheater Bag and $25 Small Cheater Bag for Late Registration

5 Silent Auction/Raffle Prize/Donation Form Gift Item: & Retail Value: $ OR Donation Amount: Company: Address: Contact Phone: Fax: * Company/Individual will be listed on a page in the program ^ Please arrange for pick-up or delivery of gift item/coupons/donations by May 1, Enclosed is my tax-deductible check payable to the UNLV Foundations with Department of Physical Therapy in the memo in the amount of $. I am paying with a credit card (see attached credit card form).

6 Please type or print in BLACK ink: Credit Card Authorization Form Fax: (702) Please ensure that you complete this form in its entirety. Name (as printed on card): Billing Address (must match credit card billing address): Contact Phone: - - ( ) Type of Card (please circle one): VISA MASTERCARD AMERICAN EXPRESS Credit Card Number: Amount: $ Expiration Date: / (mm/yyyy) I authorize the use of the above listed credit card to pay the fees listed above to the University of Nevada, Las Vegas. I understand that the credit card transaction will occur on the transaction date listed above for the amount I have indicated. I understand that fee payment deadlines and/or late fees are my responsibility. I further understand that I may be charged a penalty fee if the credit card company denies my credit card. I understand that a facsimile or photocopy of this form with my signature on it is the same as an original. Card Holder s Signature Date

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