| Corporation Name: * |
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| Reservation Name: * |
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(as it will appear in the program)
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| Contact Name: * | |
| Address: * |
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| City * |
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| Postal Code: * | |
| Business Phone: * |
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| Residential Phone: * |
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| Fax: |
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| E-mail: * |
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| Reservation Date: * |
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Please tick the box of the table package you would like to reserve:
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10 x Reserved Tables in the Polo Pavilion (100 guests) - $25,000
includes:
Includes Full page magazine ad in Mallet Magazine, corporate banner in the Polo Pavilion and a double-sided Driveway Billboard
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5 x Reserved Tables in the Polo Pavilion (50 guests) - $12,500
includes:
1/2 page magazine ad in Mallet Magazine, corporate banner in the Polo Pavilion and a single-sided Driveway Billboard
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3 x Reserved Tables in the Polo Pavilion (30 guests) - $7,500
includes:
1/4 page magazine ad in Mallet Magazine
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2 x Reserved Tables in the Polo Pavilion (20 guests) - $5,000
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1 x Reserved Table in the Polo Pavilion (10 Guests) - $2,500
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| * For questions, or to sponsor a Polo Team, please contact Karen White (905) 505-0088 or karenwhite@zing-net.ca |
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Please provide us with an emergency telephone number in case we have to contact you the morning of or the evening before the day on which you have ordered your table.
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| Emergency Phone: * |
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By submitting this form, the registrant, for valuable consideration and the payment outlined above, hereby agrees with Polo for Heart for the securing of exclusive use of the facilities indicated |
| on the dates outlined above. Your reservation will be confirmed when full payment is received. In case of inclement weather or other Acts of God, sponsors are still liable for their financial and/or |
| donation portion of this agreement. |
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To pay by cheque, please print, sign
and mail in your payment to
PACE | Polo For Heart , 180 Renfrew Drive,
Suite #100, Markham, Ontario L3R 9Z2 |
Confirm your option(s) and proceed to PayPal; the secure online payment gateway. |
Proud Title Sponsor
