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Fire Fighter Memorial Golf Tournament
March 24, 2012 Iron Oaks Golf Club
Sponsor/Player Sign-up Form
Please complete the form below. Enclose your check or complete the credit card information. Thank you for supporting the Fire Museum of Texas, a non-profit 501(c)(3) organization that works to raise public awareness about fire safety and the history of the fire service.
We will sponsor the following: _________________________
We will send 4 players_____
Please note that all sponsorships & Teams are on a "first paid" basis. Sponsorships and Teams are not considered "filled" until payment is received. To receive maximum pre-event exposure, all sponsorships should be paid by March 10, 2012.
Name ________________________________________________________________________
Company Name ________________________________________________________________
Address ______________________________________________________________________
Phone ____________________________________ FAX _______________________________
Email_________________________________________________________________________
Total Amount $ __________________________________
Enclosed Check No. ___________________ Check to follow form __________________________
Please Charge My MasterCard [ ] VISA Card [ ] AmEx Card [ ]
Credit Card Number ______________________________________ Exp. Date ______________
Name as it appears on card _______________________________________________________________
Billing Address ________________________________________________________________________
As a representative of the above listed company, I authorize the donation of the goods or funds specified for the requested sponsorship.
_________________________________________________________________________________
Signature of authorized signer / Representative Print Name/Title
Fee includes Continental Breakfast & Lunch Registration Opens at 7:00 a.m.
Shotgun Starts at 8:00 a.m. & 1:00 p.m. Lunch is included Door Prize Drawing at 12:45 p.m.
Questions? Call Chief Jack Maddox at (409) 880-3905 or Captain Ted Hillin (409)791-6636 or Chief Chris Singler (409)466-3576 or Captain Charlie Cox (409) 673-6811 or visit www.firemuseumoftexas.org
Please return form and check payable to the Fire Museum of Texas to:
Fire Museum of Texas
400 Walnut Street
Beaumont, TX 77701
409-880-3927 phone
409-880-3914 fax
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