Name of Tournament:
Golf Course:			City and State:
Number of Participants: Amateurs     Professionals			Tournament Dates: (1)   (2)   (3)
Hole #:	Yardage:	Prize Value: $	Prize Description:
-Prize Indemnity Coverage only - No signs or Bonus Prizes -Prize Indemnity Coverage Plus 1 Sign -Prize Indemnity Coverage Plus Bonus Prizes on up to three additional Par 3 Holes and All 4 signs Comments / Special Instructions: