Join us for our inaugural Mercy Home Classic Golf Tournament at the Beverly Country Club, which was honored as a Golfweek Top 100 Golf Course. Presented by the Mercy Home Junior Board.

1. Inaugural Golf Classic
Monday, September 26, 2011
Beverly Country Club
REGISTRATION FORM
1. CONTACT INFORMATION
NAME ADDRESS
COMPANY CITY, STATE, ZIP
EMAIL PHONE
2. PARTICIPATION LEVEL
SPONSORS ADVERTISING
PRESENTING SPONSOR $10,000 HOLE SIGN $500
PLAYING SPONSOR $2,500 FULL PAGE AD IN BOOK $400
FOURSOME SPONSOR $1,500 HALF PAGE AD IN BOOK $200
DRIVING RANGE SPONSOR $5,000
INDIVIDUALS LUNCH SPONSOR $5,000
INDIVIDUAL GOLFER(S) $250 DINNER SPONSOR $5,000
RECEPTION DINNER ONLY $150
□ I am unable to attend. Please accept my tax deductible donation of $ _________
Mercy Home for Boys & Girls is a stand-alone, not for profit, 501 (c) (3) tax exempt charity, allowing for your donation to be tax deductible. Please see your tax advisor for more information.
□ Check (to Mercy Home) □ VISA □ Mastercard □ American Express (Or Pay Online at www.mercyhome.org/golfclassic)
Card Number
Security Code Cardholder's Name
Expiration Date _________ / ________ / _______
Total Amount $ Cardholder's Signature
Purchases can be made online at www.mercyhome.org/golfclassic. Course availability is limited and assigments will be determined on a first-come, first-served basis.
This event will be played rain or shine.