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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
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______Team of four players
$500 |
______Chipper $1000
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Names:
__________________________ |
______Putter $750
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__________________________ |
______Hole Sponsor
$250
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__________________________ |
| ______Individual Player $125 |
__________________________ |
Your Name________________________________________________________
Sponsor Name______________________________________________________
(Name as you want to appear for publicity)
Address___________________________________________________________
| Phone Number______________________ |
Fax Number_______________________ |
Signature___________________________ |
Date______________________________ |
Visa/MC#__________________________ |
Exp. Date__________________________ |
Checks payable to:
NAAF
(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 |
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