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Women's Victory Open Golf Tournament
Sponsor Form

Please fill out the required fields.

Required fields are marked with * below.

Sponsorship Level*:
Amount*:
Business Name*:
Contact First Name*:
Contact Last Name*:
Address 1*:
Address 2:
City*:
State*:
Zip*:
Country*:
Phone Number*:
Fax Number*:
Email Address*:
	I cannot sponsor at this time. However, I would like to make a tax-deductible donation of
$
Method of Payment*:	Check Credit Card Credit Card Type MasterCard VISA American Express Discover Credit Card # Expiration Date
	Please invoice me.

By submitting this form, we agree to abide by the exhibit rules and regulations which accompanied the prospectus for Woman's Hospital Foundation, all of the terms of which are made a part hereof by this reference and incorporated herein, receipt of which is hereby acknowledged.

For more information contact:

Jessica Hebert at (225) 924-8722 or email web_dev@womans.org

Woman's Hospital Foundation
P. O. Box 95009
Baton Rouge, LA 70895-9009
Fax: (225) 922-3387