Golf Tournament Sponsorship Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Sponsorship Level* Title Sponsor - $3,000.00 (includes four golfers) Lunch - $2,000.00 (includes four golfers) Platinum Sponsor - $1,500.00 (includes four golfers) Gold Sponsor - $1,000.00 (includes four golfers) Silver Sponsor $500.00 (includes two golfers) Hole Sponsor - $250.00 (includes one golfer) Name as it should appear on all sponsor promotional material* Company logo will be sent to [email protected] for use in promotional materials?* Yes No Will you be using your complimentary golf privileges?*Yes - Please complete player box belowNoPlayers (based on sponsorship level) and typical score on 18 holesPlease list all players' lunch choices (vegetarian, vegan, or turkey sandwich) included with complimentary golf privilegesMedia Release*I hereby consent and authorize Georgia-Cumberland Academy, or its assigns, to use my name and/or the names of my family members who are minors, as listed below, as well as my likeness, photos, videos, and other information for the purpose of news releases, advertising, publicity, publication or distribution in all forms and media. I further consent to such use in their present form and to any changes, alterations, or additions thereto. I hereby release Georgia-Cumberland Academy from all liability in connection with all such uses. The images will not be used commercially. Yes, I agree to use in all publications. No, I do not grant permission. Credit Card*Card Details Cardholder Name AlumniAdvisory Council Alumni Information Update Alumni Regional Events Alumni Weekend Alumnus of the Year Life Legacy Award Cumberlite Yearbook Archive Alumni Apparel Ways to Support GCA Local Hotels