| [] |   | Gold Sponsor | $2000 |
| [] |   | Silver Sponsor | $1000 |
| [] |   | Bronze Sponsor | $500 |
| [] |   | Hole Sponsor | $200 |
| [] |   | Single Player Entry | $200 |
| [] |   | Dinner Only | $35 |
| [] |   | I cannot attend, but I would like to make a financial contribution to the foundation. | |
Make Check Payable to: Penn Monto Field Hockey Foundation
Name
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Address
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City, State, Zip
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Phone
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Email Address
Mail Sponsorship and check to: PO Box 131, Hadley, MA 01035
Call (413) 549-5766 if you have any questions about your sponsorship