bbclassic

BELL BLAZERS CLASSIC

THE RESERVE VINEYARDS AND GOLF CLUB

THURSDAY, SEPTEMBER 22, 2009 | 10:30 am

Name

Company

Address

City/State/Zip

Email Address

Phone Number

NAMES OF GOLFERS IN YOUR FOURSOME:

(**indicates which team member will ride with the celebrity)

1.**

Please return your $2,500 sponsorship fee to the address below.

DraftFCB

Attn Sybil Johnson

519 SW 3rd Avenue, Suite 600

Portland, OR 97204

503.552.3742

Note: Please make checks payable to:

Bell Blazers Classic/ Oregon Partnership

* denotes a requred field