registration form registration for suorting...
TRANSCRIPT
GREAT FOOD&
FUN!
RAFFLE
&
AUCTION
ITEMS
MAJOR SPONSORS
TITLE SPONSOR — $10,000 • Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• TV, Radio and Print Advertising• Logo/Name Displayed at Tent (Please provide company logo, banner or sign prior to the event)• Sponsor Trophy• Title Sponsor Gift
GOLD TEAM — $5,000• Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• Sponsor Trophy
SILVER TEAM — $2,500• Two 4 shooter teams• Two 4 seater golf carts
BRONZE — $1,000 • One 4 shooter team
INDIVIDUAL — $250 • Single Shooter
SUPPORTING SPONSORS
ALL REGISTERED SHOOTERS RECEIVE — COMPLIMENTARY
• Breakfast • 50 rounds of Ammo• Lunch • T-shirt• Gift bag • Hat• 1 Raffle Ticket
If you would like to contribute but are unable to attend, please consider sponsoring a deputy or a team of deputies
through any of the sponsorship choices!
NO GUN RENTALS AVAILABLE—BRING YOUR OWN GUN.
For more information pleasecall the Bustin’ Clays Hotline at 298.4990
PRE-REGISTRATION(cash, check and/or credit cards will be accepted)
ONLINEvisit www.polksheriff.org/PSCI
BY MAILplease make checks payable to:
Polk Sheriff’s Charities, Inc.Attn: Andria McDonald1891 Jim Keene Blvd.,
Winter Haven, Florida 33880
REGISTRATION#; CH2788 “A COPY OF THE OFFICIAL REGISTRATION AND FINAN-CIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER
SERVICES BY CALLING TOLL FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR
RECOMMENDATION BY THE STATE”
REGISTRATION FORM*MUST BE FILLED OUT COMPLETELY
TO ENSURE PROPER SHIRT SIZES & GIFT BAGS!* Yes, I/We would like to sponsor Bustin’ Clays with Sheriff Grady Judd
TITLE GOLD SILVER BRONZE INDIVIDUAL $10,000 $5,000 $2,500 $1,000 $250
INDIVIDUAL ENTRYName: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Place me on or Please assign me to a 4 member team TEAM NAME _______________________________________________
2015 TEAM SPONSORTEAM NAME __________________________________________________
1 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
2 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
3 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
4 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Please email your Company Logo to [email protected] Please provide a high resolution, 300 dpi file in jpg, png, tiff, eps or ai file type.Also, please include your Bustin’ Clays sponsor level in the subject line.
Bustin’ Clays event is held at
TENOROC SHOOTING SPORTS!
GREAT FOOD&
FUN!
RAFFLE
&
AUCTION
ITEMS
MAJOR SPONSORS
TITLE SPONSOR — $10,000 • Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• TV, Radio and Print Advertising• Logo/Name Displayed at Tent (Please provide company logo, banner or sign prior to the event)• Sponsor Trophy• Title Sponsor Gift
GOLD TEAM — $5,000• Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• Sponsor Trophy
SILVER TEAM — $2,500• Two 4 shooter teams• Two 4 seater golf carts
BRONZE — $1,000 • One 4 shooter team
INDIVIDUAL — $250 • Single Shooter
SUPPORTING SPONSORS
ALL REGISTERED SHOOTERS RECEIVE — COMPLIMENTARY
• Breakfast • 50 rounds of Ammo• Lunch • T-shirt• Gift bag • Hat• 1 Raffle Ticket
If you would like to contribute but are unable to attend, please consider sponsoring a deputy or a team of deputies
through any of the sponsorship choices!
NO GUN RENTALS AVAILABLE—BRING YOUR OWN GUN.
For more information pleasecall the Bustin’ Clays Hotline at 298.4990
PRE-REGISTRATION(cash, check and/or credit cards will be accepted)
ONLINEvisit www.polksheriff.org/PSCI
BY MAILplease make checks payable to:
Polk Sheriff’s Charities, Inc.Attn: Andria McDonald1891 Jim Keene Blvd.,
Winter Haven, Florida 33880
REGISTRATION#; CH2788 “A COPY OF THE OFFICIAL REGISTRATION AND FINAN-CIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER
SERVICES BY CALLING TOLL FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR
RECOMMENDATION BY THE STATE”
REGISTRATION FORM*MUST BE FILLED OUT COMPLETELY
TO ENSURE PROPER SHIRT SIZES & GIFT BAGS!* Yes, I/We would like to sponsor Bustin’ Clays with Sheriff Grady Judd
TITLE GOLD SILVER BRONZE INDIVIDUAL $10,000 $5,000 $2,500 $1,000 $250
INDIVIDUAL ENTRYName: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Place me on or Please assign me to a 4 member team TEAM NAME _______________________________________________
2015 TEAM SPONSORTEAM NAME __________________________________________________
1 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
2 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
3 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
4 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Please email your Company Logo to [email protected] Please provide a high resolution, 300 dpi file in jpg, png, tiff, eps or ai file type.Also, please include your Bustin’ Clays sponsor level in the subject line.
Bustin’ Clays event is held at
TENOROC SHOOTING SPORTS!
TITLE GOLD SILVER BRONZE INDIVIUAL GOLF CART
$10,000 $5,000 $2,500 $1,000 $250 $200
Team Sponsor
Bustin’ Clays with
SHERIFF GRADY JUDD I invite you to join us at this exciting and enjoyable charity event. Polk Sheriff’s Charities, Inc. (PSCI) will use all proceeds from this event to further their mission to support activities and charities that benefit the community associated with and identified through the Polk County Sheriff’s Office. By participating in this event, you are positively impact-ing our community. I encourage you to join us for a day of fun and healthy competition!
Grady JuddSheriff
https:// www.facebook.com/BustinClaysWithSheriffJudd
SaturdaySaturdayMarch 7, 2020March 7, 2020
Mission StatementPolk Sheriff’s Charities, Inc. shall strive to support activities and charities that benefit the community associated with the Polk County Sheriff’s Office. PSCI shall especially strive to support needs identified by members of Polk County’s law enforcement community.
Board MembersBunky Hill - ChairpersonAlyce Badcock - PresidentJames Hogan - Vice PresidentMike McGee - TreasurerAngie Hibbard- - SecretaryMike Pruitt - Board of DirectorsCourtney Daniels - Board of Directors
www.polksheriff.orgIf you would like to donate or learn more about PSCI
please contact us for more information.
863.298.4990
1891 Jim Keene Blvd. Winter Haven, FL 33880
ATTN: BILL WARD
REGISTRATION FORM
INDIVIDUAL ENTRY/TEAM CONTACT
www.polksheriff.orgIf you would like to donate or learn more about PSCI
please contact us for more information.
863.298.4990
1891 Jim Keene Blvd. Winter Haven, FL 33880
ATTN: BILL WARD
TITLE SPONSOR — $10,000 • Two 4 Shooter Teams• Two 4 Seater Golf Carts• V.I.P. Parking• V.I.P. Sponsor Seating at Luncheon• V.I.P. Recognition• TV, Radio and Print Advertising• Special Recognition (Please provide company logo, banner or sign prior to the event)• Sponsor Trophy• Title Sponsor Gift
GOLD TEAM — $5,000• Two 4 Shooter Teams• Two 4 Seater Golf Carts• V.I.P. Parking• V.I.P. Sponsor Seating at Luncheon• V.I.P. Recognition• Sponsor Trophy
SILVER TEAM — $2,500• Two 4 Shooter Teams• Two 4 Seater Golf Carts
BRONZE — $1000 • One 4 Shooter Team
INDIVIUAL — $250• Single Shooter
GOLF CART — $200 ADDITIONAL LUNCH — $25
SPONSOR PACKAGESWHAT TO EXPECT REGISTRATION INFORMATION
If you would like to contribute but are unable to attend, please consider sponsoring a deputy or a team of deputies through any of the sponsorship packages!
REGISTRATION#; CH2788 “A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE”
GREAT FOOD&
FUN!
RAFFLE
&
AUCTION
ITEMS
MAJOR SPONSORS
TITLE SPONSOR — $10,000 • Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• TV, Radio and Print Advertising• Logo/Name Displayed at Tent (Please provide company logo, banner or sign prior to the event)• Sponsor Trophy• Title Sponsor Gift
GOLD TEAM — $5,000• Two 4 shooter teams• Two 4 seater golf carts• V.I.P. Parking• V.I.P. Sponsor seating at luncheon• V.I.P. Recognition• Sponsor Trophy
SILVER TEAM — $2,500• Two 4 shooter teams• Two 4 seater golf carts
BRONZE — $1,000 • One 4 shooter team
INDIVIDUAL — $250 • Single Shooter
SUPPORTING SPONSORS
ALL REGISTERED SHOOTERS RECEIVE — COMPLIMENTARY
• Breakfast • 50 rounds of Ammo• Lunch • T-shirt• Gift bag • Hat• 1 Raffle Ticket
If you would like to contribute but are unable to attend, please consider sponsoring a deputy or a team of deputies
through any of the sponsorship choices!
NO GUN RENTALS AVAILABLE—BRING YOUR OWN GUN.
For more information pleasecall the Bustin’ Clays Hotline at 298.4990
PRE-REGISTRATION(cash, check and/or credit cards will be accepted)
ONLINEvisit www.polksheriff.org/PSCI
BY MAILplease make checks payable to:
Polk Sheriff’s Charities, Inc.Attn: Andria McDonald1891 Jim Keene Blvd.,
Winter Haven, Florida 33880
REGISTRATION#; CH2788 “A COPY OF THE OFFICIAL REGISTRATION AND FINAN-CIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER
SERVICES BY CALLING TOLL FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR
RECOMMENDATION BY THE STATE”
REGISTRATION FORM*MUST BE FILLED OUT COMPLETELY
TO ENSURE PROPER SHIRT SIZES & GIFT BAGS!* Yes, I/We would like to sponsor Bustin’ Clays with Sheriff Grady Judd
TITLE GOLD SILVER BRONZE INDIVIDUAL $10,000 $5,000 $2,500 $1,000 $250
INDIVIDUAL ENTRYName: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Place me on or Please assign me to a 4 member team TEAM NAME _______________________________________________
2015 TEAM SPONSORTEAM NAME __________________________________________________
1 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
2 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
3 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
4 Name: ___________________________________ Shirt Size: __________ Mailing Address: _______________________________________________City: _____________________________ State: _______Zip: __________E-mail Address: ________________________________________________ REQUIRED!!Telephone Number: ____________________________________________Alt. Telephone: _________________________________________________
Please email your Company Logo to [email protected] Please provide a high resolution, 300 dpi file in jpg, png, tiff, eps or ai file type.Also, please include your Bustin’ Clays sponsor level in the subject line.
Bustin’ Clays event is held at
TENOROC SHOOTING SPORTS!
LUNCH provided by:
RAFFLE
&
AUCTION
ITEMS
GREAT FOOD&
FUN
Cash, Check, and Credit Cards will be accepted. However, Cash and Check payments ensure your
entire donation is contributed to Polk Sheriff’s Charities, Inc.
7:00 AM REGISTRATION8:00 AM SHOTGUN START
For more information pleasecall the Bustin’ Clays Hotline at
863.298.4990Or by email at
BUSTIN CLAYS EVENT IS HELD AT:TENOROC SHOOTING SPORTS
3755 TENOROC MINE ROADLAKELAND, FLORIDA 33805
BUSTIN CLAYS EVENT IS HELD AT:TENOROC SHOOTING SPORTS
3755 TENOROC MINE ROADLAKELAND, FLORIDA 33805
• Breakfast• Lunch• Gift bag• 1 Raffle Ticket• 50 rounds of Ammo• T-shirt• Hat
Register Online Select your Sponsor Package online and pay by Credit Card through PayPal, or choose Check Payment to mail in your payment. Remember, if you pay by Credit Card, Credit Card Fees consume a por-tion of your donation. Once you have completed registration, be sure to email your shooter information from the other side of this brochure to [email protected] Information must be emailed to [email protected] no later than March 5th to be available at the Registration Table the day of the event. If Shooter Information is not turned in by this date, the team will need to check in under their Team or Company Name, whichever they provided, at the Registration Booth the day of the event.
Register by Mail Fill out the Registration Form on the other side of the brochure, detach and mail with payment to the address below.
*If you do not know your shooter information yet, fill out the team name section with contact info and mail in with payment. Once you know the team members information, it can be emailed to [email protected]
REGISTRATION
ONLINEwww.bustinclays.org
BY MAILPolk Sheriff’s Charities, Inc.
Attn: Bill Ward1891 Jim Keene Blvd.,
Winter Haven, Florida 33880