= Members Only
   Information


Tuesday, September 30, 2008
In Conjunction with the PIIAI Convention

Piper Glen Golf Club
Springfield, IL

Cost:
$150 per golfer
$600 per Foursome

Price includes golf, tee gifts, lunch and beverages!


A Special Thank You to our Luncheon Sponsor
The Hanover Insurance Group

Thank You to our Hole Sponsors
Arlington/Roe
Employers


Sponsorships Available!
$100 Competition Sponsor
$500 Hole Sponsor
$1,000 Beverage Sponsor
$2,000 Tee Gift Sponsor

To reserve your sponsorship contact Jennifer Jacobs
at (800) 628-6436, ext. 3013 or jjacobs@piiai.org.

Complete the form below to reserve your place (or your foursome's) in the Agent Invitational.


September 30, 2008
Golf Reservation Form
This form will reserve your place in the Agent Invitational.
You will be contacted for confirmation and payment prior to the event.

Name:
Agency/Company Name:
Phone:
Email:
I would like to reserve: Individual Golfer ($150)
Foursome ($600)
My foursome includes myself and: (names)

I would like to sponsor:

Competition ($100)
Hole ($500)
Beverage ($1,000)
Tee Gift ($2,000)

Sponsors - Please list name as it is to appear on sign: