Southern Illinois University School of Medicine


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	- Online Sponsorship Registration
	About Camp COCO
	Contact Us

Camp COCO Golf Outing
Sponsorship Registration

Friday, June 22, 2012
The Rail Golf Course

For more information on the types of sponsorships that are available,
please review this page.

Sponsor Information

First Name

Last Name

Mailing Address

City

State

Postal Code

Telephone

You will not receive email confirmation unless you provide an email address.

Sponsorship Levels

YES! I would like to help! Please sign me up as a:

	The sponsor levels above allow for your corporate logo to be included on signage. After submitting this form, you will be prompted to follow a link which will allow the attachment of an electronic version of your company logo to an email message. If you have any questions please contact Deborah Case at (217) 545-2955 or by email at dcase@siumed.edu
	Signage should read as follows:



I would like to be a Hole Sponsor

	Tee sign should read as follows:


I would like to be a Cart Sponsor


	Signage should read as follows: (ie. In memory of, In honor of, In the name of)

How would you like your contribution listed in the Golf Outing Program?

	Please do not recognize my contribution in the golf outing program.

Thank You!