The Mike Pollom Memorial Scholarship Fund

Desert Community Foundation

 The 11th Annual Charity Golf Tournament

Monday, April 16, 2012

Rancho Las Palmas

Shotgun Start - 12:30 pm

 Hole Sponsorships-Four Levels

(Please select one and enter your info for sign)

Silver: $100 - Your name on the Hole Sign __________________________

Gold: $300 - Your name on the Hole Sign, plus a line thanking the Marines ___________________________

Platinum: $500 - Your name on the Hole Sign , plus your name on the Tom Flores Banner ________________________

Platinum Plus: $600 - Your name on the Hole Sign, plus on the Thanking Marines Banner ________________________

Super Platinum: $1000 - Your name on the Hole Sign, the Tom Flores Banner and the Thanking Marines Banner ___________________

Contributions are fully tax-deductible (Tax I.D.#95-4725924). 

Please make out checks to: Desert Community Foundation, make a note on Memo line, writing in: “Mike Pollom Scholarship Fund”.

Credit Card

Amount:$__________ Card Type:_____________­­­­___________   (Master Card/Visa only)

Card #:_____________________ Security Code:________Expiration Date:____________                

Name on Card:____________Signature:___________________

Please print this form out and send checks or credit card info to:  

Mrs. Karen Myers, Financial Chairwoman

115 Don Quixote Drive, Rancho Mirage, CA 92270