Sponsor Form

Harley-Davidson/Buell of Baton Rouge
Links for Locks
Golf Classic
Benefiting the National Alopecia Areata Foundation

Monday, March 14, 2005 - The University Club

Thank you for supporting research for the National Alopecia Areata Foundation.  Please check the level of giving and return this form to Wendy and Brian Ter Haar.  All checks and forms must be received by March 9th due to the print schedule.

______Driver $1500
______Team of four players $500
______Chipper $1000
Names:  __________________________
______Putter $750
______Hole Sponsor $250
______Individual Player $125                __________________________

Your Name

Sponsor Name______________________________________________________
(Name as you want to appear for publicity)


Phone Number______________________ Fax Number_______________________




Exp. Date__________________________

Checks payable to:
(National Alopecia Areata Foundation)

Mail checks and forms to:
Wendy & Brian Ter Haar
14533 N. Majestic Oaks Place
Baton Rouge, LA 70810
225.755.6995 or 225.229.6992
email: wendy1826@cox.net