Company Name/Family Name

Email Address

Phone

Sponsorship Requested

Patron Sponsor (Please indicate donor amount)

Gold Sponsor ($500) - Event Sponsor

Silver Sponsor ($250) - Contest Hole Sponsorship

Bronze Sponsor ($175) - Standard Hole Sponsorship

Patron Sponsor Amount

If Patron Sponsor is selected, please indicate sponsorship amount below

Please make checks payable to "The Sean P. Cunningham Scholarship Fund", and send all payments to the following address: The Sean P. Cunningham Memorial Scholarship Fund at Pocono Health Foundation, 206 E. Brown St, East Stroudsburg, PA 18301.