Sign Up for Crime Stoppers of Michigan’s Annual Golf Outing To compete, simply fill out this informational form and e-mail it to stacey@michiganalliance.org Form Main Contact Name/Player #1 * First Last Phone Number * Email Address * Address * City * State * Zip Code * Main Contact Name/Player #2 First Last Player #2 Phone Number Main Contact Name/Player #3 First Last Player #3 Phone Number Main Contact Name/Player #4 First Last Player #4 Phone Number Registration Cost * Individual - $200 Team - $800 Dinner Only - $50 Hole Signs - $100 Each Logo on Hole Signs - $15 Other Select all that are applicable. If you chose "Hole Sponsorship" ($100 per sign), how many signs do you want? (You can purchase more than (1) sign, we have (3) courses.) Logo on Sign? — Select — Yes No What would you want printed on your sign? Logo or Other Place the text you would want into the text field. Sponsorship Opportunities Cart Sponsor - $10,000 Dinner Sponsor - $10,000 Breakfast Sponsor - $5,000 Lunch Sponsor - $5,000 Beverage Sponsor - $5,000 Bloody Mary Bar Sponsor - $5,000 Sponsor the entire event - Contact Stacey Kowalski Please see information sheet for details about each Sponsorship Opportunity. Payment Method (select one and fill out necessary information) * Check - (Please make checks payable to: Crime Stoppers of Michigan) Credit Card Other - Contact Stacey Kowalski at (313) 922-5000 ext. 122 Mail form to: Crime Stoppers of Michigan, Attn: Stacey Kowalski, 18000 W. Nine MIle Rd., Suite 500, Southfield, MI, 48075 If "Credit Card" was selected, specify type: Visa Mastercard Other Credit Card Number Card Expiration Date Card Security Code Total Amount Enclosed: *
