LARRY DIERKER CELEBRITY GOLF SHOOTOUT

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1 LARRY DIERKER CELEBRITY GOLF SHOOTOUT 10:00am Registration & Lunch 12:00pm Shotgun Start 5:30pm Dinner/Silent Auction/Raffle Spouses are welcome for dinner -$25

2 R E G I S T R A T I O N F O R M Thursday, November 2, 2017 BlackHorse Golf Club, Fry Road, Cypress, TX :00 a.m. Registration & Lunch 12:00 p.m. Shotgun Start 5:30 p.m. Dinner/Silent Auction/Raffle (Spouses are welcome for dinner - $25) Sponsorship Package Details Available Online at Yes, I/we wish to participate in the Larry Dierker Celebrity Golf Shootout benefiting Cy-Hope at the following level: Event Underwriter - $20,000 Hall of Fame Sponsor - $4,000 Double Eagle Sponsor - $15,000 Birdie Sponsor - $3,000 Eagle Sponsor - $10,000 Foursome $2,000 Beverage Sponsor - $5,000 Pin Sponsor - $500 Merchandise Sponsor - $5,000 Individual Player - $500 Hole-in-One Sponsor - $5,000 Hole Sponsor - $400 Contact Name Team Member Names: Company Name Address City Zip Phone Check in the amount of $ enclosed. (Check # ) Charge the amount of $ to this credit card: Visa MasterCard Credit Card # Exp Date CVV Code Signature To register, please complete and fax to , to mail to Cy-Hope, Telge Road, Cypress, TX 77429, or go to Cy-Hope is a 501(c)3 non-profit organization. The mission of Cy-Hope is to make life better for kids in Cy-Fair. A portion of your sponsorship is tax deductible. Thank you to our event sponsors and business partners!

3 Benefiting Cy-Hope Event Underwriter - $20,000 Exclusive Only One Available 2 Teams of four golfers + celebrity at BlackHorse Golf Club for the event VIP Priority choice of celebrities for your teams Named Event Underwriter in media printing, signage, and our website Logo acknowledgment on all printed promotional materials, media and signage Company link on Cy-Hope website promoting golf event Two (2) hole sponsorship signs One (1) Pin Hole flag, autographed by Larry Dierker

4 Double Eagle Sponsor - $15,000 2 Teams of four golfers + celebrity at BlackHorse Golf Club for the event Named Double Eagle Sponsor in media printing, signage, and our website Logo acknowledgment on all printed promotional materials, media and signage Company link on Cy-Hope website promoting golf event Two (2) hole sponsorship signs One (1) Pin Hole flag, autographed by Larry Dierker Eagle Sponsor - $10,000 Named Eagle Sponsor in media printing, signage, and our website Logo acknowledgment on all printed promotional materials, media and signage One (1) Pin Hole flag, autographed by Larry Dierker

5 Beverage Sponsor - $5,000 Named Beverage Sponsor in media printing, signage, and our website Company signage on all beverage carts Acknowledgment on all printed promotional materials, media and signage Merchandise Sponsor - $5,000 Named Merchandise Sponsor in media printing, signage, and our website Company logo on golfer gift Acknowledgment on all printed promotional materials, media and signage Hole-in-One Sponsor - $5,000 Two Available Named Hole-in-One Sponsor in media printing, signage, and our website Two (2) hole sponsorship signs on two of the four Par 3 holes (Holes 7, 9, 14, and 16) Acknowledgment on all printed promotional materials, media and signage

6 Hall of Fame Sponsor - $4,000 Recognition on our website and at the event Signage on one (1) hole (excluding holes 7, 9, 14, or 16 or those selected by Event Underwriter) Birdie Sponsor - $3,000 Recognition on our website and at the event Signage on one (1) hole (excluding holes 7, 9, 14, or 16 or those selected by Event Underwriter) Foursome $2,000 Team of four golfers (+ celebrity based on availability) at BlackHorse Golf Club for the event Recognition on our website and at the event

7 Pin Sponsor - $500 Recognition on our website One (1) Pin Hole flag, autographed by Larry Dierker Individual Player - $500 each Come and enjoy a great day for a great cause! You ll join 3 other golfers at BlackHorse Golf Club for the event Hole Sponsor - $400 Signage on hole Opportunity to put company tent on tee box

8 CY-HOPE Telge Road, Cypress, TX Cy-Hope.org HOPE

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