Advertising Industry Emergency Fund

Ticket Order Form

Golf Day 2008
September 9, 2008
for sponsorship opportunities, please click here

Company Name

Name / Title

My Address

My City

My State

My Zip Code

Phone Number

Email Address

Please show your support by indicating the quantity of each:
(for sponsorship opportunities, please click here)

	Quantity
Individual Playing Spot - $650
Additional Awards Reception Ticket - $100
Total

Check here if you are an AIEF Member:

Guardian Member Benefactor Member AIEF Member

Payment information

Sending check
Please charge my credit card: Amex Visa Mastercard

Credit Card Number:

Expiration Date: /

Signature:

Please list your players below

Player 1
Name
Company
Address
City, State, ZIP
Daytime Phone
Fax
Shirt Size
Handicap/Index
E-mail

Player 2
Name
Company
Address
City, State, ZIP
Daytime Phone
Fax
Shirt Size
Handicap/Index
E-mail

Player 3
Name
Company
Address
City, State, ZIP
Daytime Phone
Fax
Shirt Size
Handicap/Index
E-mail

Player 4
Name
Company
Address
City, State, ZIP
Daytime Phone
Fax
Shirt Size
Handicap/Index
E-mail

Comments/Questions/Additional Golfers (optional):

Please fax or email insertion orders to: 310-285-3279
Contact: Nicole Levitt at 310-397-7830 Email: nicole@aief.org
11700 National Blvd., Suite L230, Los angeles, CA 90064