2009 KEN KOSKI MEMORIALBENEFIT GOLF TOURNAMENT

BENEFITTING WYOMING SEARCH AND RESCUE EFFORTS

Friday, August14, 2009, 9:00 a.m. Shotgun Start

Registration Form

Make checks payable to:Return check and form to: Trish Newberry

Wyoming Search and Rescue903 Brittany Dr.

Cheyenne, WY 82009

Tournament: Friday, August 14, 9:00 a.m.Country pork riblunch

City of Cheyenne Airport Golf ClubAwards and silent auction

4801 Central Avenueat the golf club following

Cheyenne, Wyoming (307) 637-6418the tournament

Just as much fun as last time!

Hole-in-one sponsors:Saturn of Cheyenne and Maverick Motor Sports-Harley Davidson

Company or team name: ______E-mail ______

Contact name: ______Phone# ______

Address:______Players 1. ______

______2. ______

______3. ______

4. ______

Please indicate your choice below:

□CORPORATE SPONSOR $1,000□ TEAM SPONSOR $375

Includes: 4 golfers, 2 carts, lunch, hole sign,Includes: 4 golfers, 2 carts, lunch,

(Include a disc of company logo for hole sign)WYSARA website recognition, team photo

WYSARA website recognition, team photo, Team donation amt. $185

sponsorship plaque

Donation amt. $577 (3 color sign), $627 (2 color sign)

□ FOUR PLAYERS $275□ ADDITIONAL LUNCHES $22

4 golfers, 2 carts, lunch, team photoFor non players or guests of golfers

Individual donation amt. $21.25Donation amt. $10

□ HOLE SIGN ONLY $200/250□ DONATION ONLY

(Include a disc of company logo for hole sign)WYSARA website recognition.

$200 two colors, $250 three colorsDonation amt. enclosed $______

Please make all checks payable to Wyoming Search and Rescue. Proceeds will benefit Wyoming Search and Rescue Fund and Wyoming Search and Rescue Association.

DONATION INFORMATION2009 Ken Koski Memorial

For silent auction / prizesBenefit Golf Tournament

Friday, August 14, 2009

Proceeds benefitting Wyoming Search

and Rescue efforts

Donor Name (print): ______

Commits the following items to help raise money for the Wyoming Search and Rescue Council and Wyoming Search and Rescue Association. Donations are tax deductible.

Individual or company name as it should appear in program listing:

Name: ______Phone: ______

______Address: ______

______

Contact Person: ______Title: ______

DONATION INFORMATION

Description of item or service:

______Starting bid suggested: $______

Estimated Value: $ ______

______

Donor/Authorized Signature:

Cash donations are also accepted. Checks should be made payable to Wyoming Search and Rescue Association. We will gladly accept detailed descriptions, brochures or advertising materials to be used in displaying items. Donated items/services that do not sell at auction may be used by the fund raising committee in alternative ways such as recognizing volunteers.

Thank you for supporting this event!

Please return this form to: Trish Newberry

903 Brittany Dr.

Cheyenne, WY 82009

(307) 778-9767