Exhibit

Exhibit / Sponsorship Application

Event
Event Date
Name of Representative Attending
Company Name
Address
City & State
Zip
Phone
Email
Brief Description of Product
Number of Electrical Outlets Required

	Beverage Cart Sponsor - $300
	Closest to Pin Sponsor - $200
	Longest Drive Sponsor - $200
	Team Sponsor - $600 (includes 1 team entry)
	Hole in One Sponsor - $300
	Tee/Hole Sponsor - $200
	Putt for Dough - $300
	Swing Like a Girl - $200
	Friend of the Tournament - $100

Payment Method:

Credit Card Number
Expiration Date
Name on Card

Total Amount Enclosed

Please complete and return with payment to:

Arkansas Society of CPAs
11300 Executive Center Drive
Little Rock, AR 72211-4352
501-664-8739
800-482-8739 (in Arkansas)
501-664-8320 (Fax)

Or, send via email, with credit card information, by pressing "submit" below.