Ohio Fire Safety Coalition
Ohio Fire Safety Coalition

P.O. Box 237
Uniontown, OH 44685-0237

Phone: 216-447-6331

Website: ohiofsc.org


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OHIO BURN PREVENTION GOLF INVITATIONAL

2nd ANNUAL OHIO FIRE SAFETY
COALITION BURN INVITATIONAL*
Pledge Form

Monday, August 14, 2006
Glenmoor Country Club
Canton, Ohio
 

The following is our pledge to participate in the
2nd Annual Ohio Fire Safety Coalition Burn Invitational:
¤

Diamond Sponsorship - $5,000

¤

Platinum Sponsorship - $3,000

¤

Gold Sponsorship - $1,500

¤

Silver Sponsorship - $800

¤

Bronze Sponsorship - $500

¤

Tee/Green Sponsorship - $200

¤

Refreshment Cart Sponsor - $1,500

¤

Dinner / Auction Only - $95/person

¤

Full Registration - $290

¤

August 13th Texas Holdem - $100/person

* Proceeds to benefit Akron Children’s Hospital

Signature: ____________________________________________

Printed Name: _________________________________________

Email address: _________________________________________

Company Name (as it should appear in program):
____________________________________________________

Street Address: ________________________________________

City: _______________
State: ___
Zip: ______________

 

Please return this form by July 14, 2006

Make Checks Payable to:
Ohio Fire Safety Coalition
PO Box 237
Uniontown, OH 44685-0237


If you are interested in donating a Door Prize or Auction Item, contact:

Karen Snethkamp at 330-848-4901 x385 or karen.snethkamp@sprinkfab.com


Credit Cards Accepted (Visa or Mastercard only) CIRCLE ONE
Name Printed on Card: ______________________________
Signature: ________________________________________
Credit Card #: ______________________ Exp. Date: ________