The Children's Clinic
"Serving Children and Their Families"
2801 Atlantic Avenue/P.O. Box 1428
Long Beach, California 90801-1428

Print out this form and mail it in to the address bellow.

TOURNAMENT PACKAGE AND REGISTRATION INFORMATION
Company __________________________________________
Contact Name __________________________________________
Address __________________________________________
City/State/Zip Code __________________________________________
Telephone __________________________________________
PLAYER INFORMATION
Total Shirt Size
Player #1 ___________________ @ $150 ________ ________
Player #2 ___________________ @ $150 ________ ________
Player #3 ___________________ @ $150 ________ ________
Player #4 ___________________ @ $150 ________ ________
SPONSOR LEVELS (Sponsorship directly supports The Children’s Clinic)
Palmer Level Sponsor
Includes (2) foursomes, full-page advertisement in program, recognition at awards dinner, and company banners located at clubhouse, 1st and 10th holes.
_____@ $3,500 ______
Nicklaus Level Sponsor
Includes (1) foursomes, full-page advertisement in program, recognition at awards dinner, and company banners located at clubhouse, 9th and 18th holes.
_____@ $2,500 ______
Tiger Woods Level Sponsor
Includes (1) foursome, 3/4 page advertisement in program, company banner and (4) tee signs.
_____@ $2,000 ______
Gift Sponsor
Includes (2) tee signs and recognition in program.
_____@ $500 ______
Tee Sponsor
Includes (1) tee sign and recognition in program.

_____@ $250 ______


Raffle Tickets (5 tickets) # pkgs. ______ @ $20 ______
Raffle Tickets (12 tickets) # pkgs. ______ @ $40 ______
Raffle Tickets (25 tickets) # pkgs. ______ @ $60 ______

Total Enclosed _____________
For Tax Purposes the Federal ID No. is: 95-1643332
Complete above information and submit with check made payable to:
Karing for Kids, C/O Kiwanis Club of Long Beach,
320 Pine Ave., Long Beach, CA 90802
 

The Children's Clinic is an non-profit, free-standing community medical clinic. Serving the communities of Long Beach, Bellflower, Hawaiian Gardens, Lakewood, Carson, Paramount, Signal Hill and Norwalk.