St. Luke's Magic Valley Medical Center

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Jim Sinclair - Dr. Glenn A. Hoss Memorial Golf Tournament,
Sign-up Form

Saturday, June 21, 2008
7:30 a.m. Registration - Jackpot Golf Course

Name of Sponsor: (Please list name as desired for recognition purposes)

Business Name: *

Address 1: * Address Type:

Address 2:

City: * State: * Zip Code: *

Day Phone: * Evening Phone:

Email Address:
Please enter your email address again for confirmation

Email Address: *Email Type:

Please list the name (s) of the team member

Mr./Mrs./Miss/Ms.

First Name: *

Last Name: *

Handicap * (Enter "Unsure" if not known)

Mr./Mrs./Miss/Ms.

First Name: *

Last Name: *

Handicap * (Enter "Unsure" if not known)

Mr./Mrs./Miss/Ms.

First Name: *

Last Name: *

Handicap * (Enter "Unsure" if not known)

Mr./Mrs./Miss/Ms.

First Name: *

Last Name: *

Handicap * (Enter "Unsure" if not known)

$600 Gold Sponsor (includes 4 players, 1 team)
$300 Silver Sponsor (includes 2 players)
$150 Bronze Sponsor (includes 1 player)
$125 Individual Golfer
$15 each Mulligan Tickets (3 per person only)

I would like to support the Golf Tournament by making a cash gift of:
I will mail a check.
I will call your office at 208.737.2480 to have my credit card charged.

Please invoice me at the address above.

Please make your check payable to the St. Luke's Magic Valley Health Foundation and mail to P.O. Box 2231, Twin Falls, Idaho 83303-2231.

Please place my name on the mailing list for:

June Golf Tournament

September "Epicurean Evening"

Festival of Trees Gala

Festival of Trees Ladies' Night Out

Festival of Trees Community Announcement Form

Festival of Trees Host/Hostess

Festival of Trees

Other

All gifts will be publicly acknowledge unless the donor requests confidentiality. The Internal Revenue Service has required all charitable organizations to inform patrons as to the appropriate deductibility of donations for fund raising events. For tax purposes, a portion of your sponsorship fee may be considered a charitable gift. Gold-$440, Silver-$220, Bronze-$110, Individual-$75 and Dinner guest-$5. Generally, only the amount above the value of any product or service you receive can be considered a tax-deductible donation. Please consult your personal tax advisor as to the applicability of any charitable donation.

Thank you for wanting to support the health care needs of those who live and work in the Magic Valley by giving to the St. Luke's Magic Valley Health Foundation's events and programs. Your thoughtfulness is appreciated!

Ways to Give

Magic Valley Medical Center