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Registration Form
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The College
of Biological Sciences
2nd Annual
Golf Outing
2 0 0 4
May 24, 2004
The Ohio State University
Gray Course
Registration
10:30 AM - 12:00 PM
Lunch
12:00 PM - 12:45 PM
Golf Scramble
1:00 PM
Dinner & Auction
5:30 PM
All golfers and sponsors will receive acknowledgement of their charitable contributions from the OSU
Development Office.
I would like to be a College of Biological Sciences Scholarship Fund Sponsor
$2,500
Platinum Sponsor includes golf foursome & hole sponsorship
tax deductible portion
plus four OSU football tickets for a 2004 season game (game date TBA)
$1910
$1,000 Gold Sponsor includes a golf foursome and hole sponsorship
$610
$500 Scarlet Sponsor includes two golfers and hole sponsorship
$290
$250 Gray Sponsor includes one golfer and hole sponsorship
$130
$150 Hole Sponsorship Only
$120
$125 Individual Golfer
$35
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*
add a student golfer for $75 more (total of $200)
$20
$125 Sponsor a Student Golfer
$35
*
You can choose a student or we will assign a Biological Sciences student to golf with you.
Golf with sponsorships include greens fees & cart, range balls, prizes, dinner & beverages.
Name of organization or individual(s) for recognition
Golfer #1
Name
Phone (H)
(W)
Address
City
State
Zip
E-mail
Index or typical score
Place me in a foursome
Include the following in my group
Golfer #2
Name
Index or typical score
Golfer #3
Name
Index or typical score
Golfer #4
Name
Index or typical score
______
Student Name(s)
Please accept the enclosed check for :
Golf Sponsorship (see above)
...
Hole Sponsorship (see above)
.
Individual Golfer @ $
125.00
..
Add a student golfer to my Individual Sponsorship
...
Total
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Make checks payable to
The Ohio State University
. All sponsorships will be recognized with course signs and will be included in the event program.
Register on-line or print and complete this form. Mail with check to: Megan Lalumondier, Alumni Affairs Coordinator, College of Biological Sciences, 484 West 12th Ave., Columbus, OH 43210-1292. Contact Megan at
lalumondier.1@osu.edu