PO Box 7541 / Natchitoches, LA 71457 / 318.214.4513Tax Id: 76-0803931

For more information,visit our website

www.nrmchospital.orgor contact the

NRMC Foundation Office 318.214.4513

foundation@nrmchospital.org

Benefiting the mission & goals of the Natchitoches Regional

Medical Center Foundation

REGISTRATION FORM

Company:______________________________________

Contact Name:__________________________________

Phone:_________________________________________

Email:__________________________________________

Address:_______________________________________

City/State/Zip:__________________________________

SPONSORSHIPS

q RIP Presenting Sponsor $3,000q Bone Chiller $2,000q Ghostbuster $1,500q Pick Your Poison $500q Cobweb Combo (Headstone & Creepy Cart ) $125q Headstone $100q Creepy Cart GPS $50

q Zombies (4-Man Team) $500

Team Name:____________________________________

Player 1: _______________________ Handicap:________

Player 2: _______________________ Handicap:________

Player 3: _______________________ Handicap:________

Player 4: _______________________ Handicap:________Team must register all four players at initial sign up and pay with single check.

TOTAL: $ ______________________________________

Please make checks payable to: NRMC Foundation. Your check is your reservation.

Mail completed form and payment to:NRMC Foundation • Attn: Golf Tournament

PO Box 7541 • Natchitoches, LA 71457

All proceeds benefit the NRMC Foundation. Tax Id: 76-0803931

Pick Your Poison $500Logo on beverage cart and all print/web materials. Exclusive opportunity to promote your company and distribute promotional items (Trick or Treat!).

Cobweb Combo $125 Headstone and Creepy Cart GPS Combo: Includes T-box signage and logo on cart GPS.

Headstone $100Includes T-box signage

Creepy Cart GPS $50Includes logo on cart GPS

Please join us for a spine chilling day of golf at

our Halloween Classic.

Proceeds from the tournament go towards the funding of scholarships for nurses and allied

healthcare professionals, as well as, community grants that support healthy lifestyles.

The NRMC Foundation is a non-profit organization that has provided over $400,000

in financial resources to students, local agencies and organizations in our community.

Friday, October 27th

Oakwing Golf Club2345 Vandenburg Dr, Alexandria, LA

Featured Contests

include: • Closest to Hole, Longest

Drive & more

• Putting Contest for 55" TV

• 3 for $10

• Mulligans $10

SPONSORSHIP OPPORTUNITIESRIP (Really Important Person) $3,000Presenting Sponsor: Includes one team (4) golfers; T-box signage; logo on cart GPS; (4) mulligans; (4) putting contest chances; company banner at the 18th hole, recognition at sign-in table, logo on tournament golf towels and on all print/web materials.

Bone Chiller $2,000Includes one team (4) golfers; T-box signage; logo on cart GPS; (2) mulligans; (2) putting contest chances; logo on all print/web materials.

Ghostbuster $1,500Includes one team (4) golfers; T-box signage; (1) mulligan; (1) putting contest chance; logo on all print/web materials.

Zombies $500Includes one team (4) golfers.

11 am: Registration /Refreshments / Putting Contest

12 noon: Tee Time

4:30 pm: Awards

Deadline for sponsorships & team entries is

XX.

FOR MORE INFORMATIONVisit our website: www.nrmchospital.org

or contact the Foundation Office at 318.214.4513.