SPONSOR REGISTRATION

All profits from the
Exchange Club of Sebastian’s Blue Water Open go to the
Prevention of Child Abuse and other youth-oriented activities.
| Premier Sponsor (4/1/12 deadline) $10,000 | I am unable to sponsor the Event |
| Platinum Sponsor (4/1/12 deadline) $5,000 | at this time, but I still want to help the |
| Gold Sponsor (4/1/12 deadline) $3,000 | kids. Please accept my gift of $ __________ |
| Scoreboard Sponsor $1,500 | |
| Silver Sponsor $1,000 | |
| Bronze Sponsor $500 | |
| Angler Sponsor $300 | I will volunteer and/or donate goods in |
| Tournament Sponsor $250 | kind to support the Blue Water Open______ |
Name of Sponsor: ___________________________________________________________
Name to appear on Website and Sponsor Board: ___________________________________
Contact Person: _____________________________________________________________
Phone #: _____________________________ Fax #: ______________________________
Email Address: ______________________________________________________________
Website Address: ____________________________________________________________
Please fill out and present to your Sebastian Exchange Club Contact or Fax to: 772-589-8916.
Make checks payable to: Sebastian Exchange Club Foundation, Inc.
You can also mail form and check to: PO Box 781155, Sebastian, FL 32978-1155
For More Information, Call Adam Preuss at 772-589-8915 or email: adam@preussappraisals.com
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