Florida Association of Insurance Agents

Young Agents Council Golf Tournament Registration Form

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Open to all FAIA members!

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WEDNESDAY, JUNE 23, 2010 11:00 a.m. Registration
Hawk’s Landing Golf Club
Orlando World Center Marriott
Open to all FAIA members!

Special guest player: Major Ed Pulido, executive director of the Folds of Honor Foundation. Major Pulido is a retired Army offi cer and OPERATION IRAQI FREEDOM amputee.
Proceeds to benefit the Folds of Honor Foundation—a legacy foundation with a mission to empower deserving military families with educational support and opportunities.

Click here for printable version of this form

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Registration Info:
* Agency/Company Name:
* Email:
* Player 1:	Phone:
Player 2:	Phone:
Player 3:	Phone:
Player 4:	Phone:
Registration Options
	$250* - Tournament Sponsor
	$100 - Tee Sponsor**
	$475 - YAC Member Team & Tee
	$400 - YAC Member Team
	$575 - Non-YAC Member Team & Tee
	$500 - Non - YAC Member Team
	$100 - Individual
	$125 - Non-Yac Individual
Additional Sponsorship opportunities available (box lunch & golf cart, beverage cart, specialty games) Tournament Sponsor: Company name listed on Tournament Sponsor Board displayed at Registration and at the Awards Ceremony A company banner displayed on the course Recognition from the podium at Awards Ceremony Recognition in the Tournament Program and in the Newsletter* ** Tee Sponsor: One 12” x 12” tee sign displayed on the Golf Course Recognition in the Tournament Program and Newsletter

Credit Card Information:
* Credit Card:
* Credit Card No:	---
* V-Code:
* Expiration Date:	(mm/yy)
* Credit Card Billing Address:
* City:
State:
* Zip:
* Name on Card: