September 22, 2008
Rattlesnake Ridge Golf Course

______ Individual Golfer $125
______ Golfer Foursome $500
______ Dinner Only $50
______ TEE SPONSORSHIP $200
______ Unable to Attend Donation Enclosed
______ GOLD SPONSOR $1,200 Donation Amount
(Includes 2 Tee Sponsorships and 2 foursomes)
______ SILVER Sponsorship $650
(Includes 1 Tee Sponsorship and 1 foursome)

Sponsor Company Name: _______________________________________________
Contact Person: ___________________________ Phone: _____________________
Contact e-mail:  _______________________________________________________

Golfer Information, Company Name: _______________________________________

Forward with payment to: Central Ohio Crime Stoppers
PO Box 16038
Columbus, OH 43216
614-645-4794
614-645-4236 FAX