2006 Hole Sponsor Form

John E. Palmer Memorial Golf Tournament

To benefit the

E.C. Glass Athletic Boosters

Fee $125

Company name (in the format you wish it to appear on signage):

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Mail or Fax Form to: 

EC Glass Athletic Boosters

 David Shields               or                Tom Capps
1625 Belfield Place Drive                    108 Lee Circle
          Lynchburg, VA  24503                   Lynchburg, VA 24503
            Fax 846-5648                           Fax 528-3213