$100 - HOLE SPONSOR FORM

Your monetary donation to the Florida Sheriff’s Youth Ranch is tax deductible. Please print and complete this form and return your donation to Okaloosa County Sheriff’s Posse, PO Box 811, Shalimar, FL 32579-0811, or call 651-7445 Mon-Fri 10AM-6PM.

YOUR $100 DONATION WILL PROVIDE YOU OR YOUR ORGANIZATION WITH TOURNAMENT DATE RECOGNITION ON ONE OF THE 18 TEE BOXES.

NAME OF

ORGANIZATION/COMPANY _________________________________________

(EXACTLY AS YOU WANT PRINTED)

CONTACT NAME ___________________________________

ADDRESS ____________________________________________ST____ZIP _______

PHONE NUMBER (_____) ________________

PLEASE MAKE A COPY FOR YOUR TAX RECORDS

DONATION TO OKALOOSA COUNTY SHERIFF’S POSSE

CHARITY GOLF TOURNAMENT, OCTOBER 12, 2001

PROCEEDS BENEFIT THE FLORIDA SHERIFF’S YOUTH RANCH

DESCRIPTION AND VALUE OF DONATION $ ______________________________

THANK YOU FOR YOUR SUPPORT!