MISSOURI PETROLEUM MARKETERS & CONVENIENCE STORE ASSOCIATION (MPCA)

205 East Capitol Avenue, Suite 200 • Jefferson City, Missouri 65101

phone: 573.635.7117 • fax: 573.635.3575 www.mpca.org • info@mpca.org

GOLFING • DINNER • FUNDRAISER

2020 MPCA-PAC ANNUAL GOLF EVENT

DATE & LOCATION

Monday, September 28, 2020Osage National Golf Resort

Lake of the Ozarks, Missouri

400 Co Rd 54-52Lake Ozark, MO 65049

REGISTRATION

Registration form is available on on-line at:

www.mpca.org.Registration Deadline: September 18, 2020.

All attendees must be pre-registered.

LODGING INFORMATION

Due to the one-day format for this event, MPCA has not secured a

lodging room block.

Osage National Golf Resort has a variety of condominium options

available for lodging.

For details, please call 573.365.1950

or visitwww.osagenational.com

There are many other lodging options at the lake - for details

view the lake area visitors guide at www.funlake.com.

This annual event is MPCA’s main fundraiser for the association’s Political Action Committee (PAC).

The golf features 18 holes of play at Osage National Golf Resort and will wrap-up at the clubhouse with a dinner buffet and awards.

All MPCA members are strongly encouraged to attend!

ONE-DAY SCHEDULE OF EVENTS

Monday • September 28, 2020 RESCHEDULED FROM JUNE 8, 2020 8:30 am MPCA Board Meeting - BOARD MEMBERS ONLY The MPCA Board of Directors meeting will be held at Osage National Golf Resort Clubhouse - Palmer Room (breakfast buffet will be served)

10:00 am Golf Check-In

11:00 am Golf Tournament Golf will be played at Osage National Golf Resort The competition will be a shotgun start, four-person scramble featuring 18 holes of play, scored relative to par Dinner Buffet & Awards Dinner Buffet will be held at Osage National Golf Resort Clubhouse - Palmer Room immediately after play

Everyone is welcome to participate — non-golfers are encouraged to register for

the dinner and join in the fun!

Pre-registration required, please complete and return registration form as soon as possible.

MPCA

Play Fore the PAC

MPCA • 205 East Capitol Avenue, Suite 200 • Jefferson City, Missouri 65101 • phone: 573.635.7117 • fax: 573.635.3575 • info@mpca.org

2020 MPCA ANNUAL GOLF EVENT REGISTRATION FORMDATE: Monday, September 28, 2020 RESCHEDULED FROM JUNE 8, 2020TIME: Check-In 10:00 am (shotgun start at 11:00 am)PLACE: Osage National Golf Resort • Lake of the Ozarks, MO

To register, complete & return form - confirmation is made upon receipt of full payment.

Registration deadline is September 18, 2020 or when the field is full. Cancellations after September 18, 2020 & no shows are ineligible for refund.

COMPANY : _____________________________________________________________________

ADDRESS : _____________________________________________________________________

CITY / STATE / ZIP : _____________________________________ PHONE: ____________________________

FIRST / LAST: _______________________________________ EMAIL: ______________________________________

GOLFER (1) : COMPANY / CITY / STATE: (if other than above)

FIRST / LAST: _______________________________________ EMAIL: ______________________________________

GOLFER (2) : COMPANY / CITY / STATE: (if other than above)

FIRST / LAST: _______________________________________ EMAIL: _______________________________________

GOLFER (3) : COMPANY / CITY / STATE: (if other than above)

FIRST / LAST: _______________________________________ EMAIL: _______________________________________

GOLFER (4) : COMPANY / CITY / STATE: (if other than above)

REGISTRATION FEES

MEMBER GOLFER: $250 per person x ______ persons = SubTotal $ _________ Includes: MPCA-PAC contribution, golf fees, box lunch & 2 drink tickets, dinner & 2 drink tickets.

NON-GOLFER: $150 per person x ______ persons = SubTotal $ _________ Includes: MPCA-PAC contribution, dinner & 2 drink tickets.

HOLE SPONSORSHIP: $ 325 sponsorship fee = SubTotal $ _________ Includes: Printed sign with your company name posted on course.

ADD’L SPONSORSHIP: $ 500 — Box Lunches or Drink Tickets $1000 — Door Prize or Grand Prize = SubTotal $ _________

ADD’L PAC DONATION: $150 $250 $500 $_________ = SubTotal $ _________ Please consider making an add’l contribution to the MPCA-PAC — thanks for your support!

Check — Please make check payable to “MPCA-PAC” TOTAL: $ _________ Credit Card — MasterCard VISA

___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___- ___ ___ ___ ___ 3-Digit Code: ______ Exp. Date: _______ Cardholder Signature: ________________________________________

REGISTRATION INFO

PAYMENT METHOD

MPCA

Play Fore the PAC

COMPANY: _______________________________________________________________________

COMPANY CONTACT: _______________________________________________________________________

ADDRESS: _______________________________________________________________________

CITY / STATE / ZIP: _______________________________________________________________________

PHONE: ________________________________ EMAIL: _____________________________

Please indicate specific sponsorship desired below:

SPONSORSHIP DESCRIPTION AMOUNT SUB-TOTAL

Golf Hole Sponsorship $ 325 . . . . . . . . . . . . . . . . . . . . . $ ___________ (printed sign with company name posted on course)

Golfer’s Drink Tickets $ 500 . . . . . . . . . . . . . . . . . . . . . $ ___________ Sponsorships Available = 3

Golfer’s Box Lunches $ 500 . . . . . . . . . . . . . . . . . . . . . $ ___________ Sponsorships Available = 3 Dinner Drink Tickets $ 1,000 . . . . . . . . . . . . . . . . . . . . . $ ___________ Sponsorships Available = 3

Door Prize - drawing held at dinner event $ 1,000 . . . . . . . . . . . . . . . . . . . . . $ ___________

Grand Prize - drawing held at dinner event $ 1,000 . . . . . . . . . . . . . . . . . . . . . $ ___________

Golfer’s Goodie Bag Items - minimum of a Golf Hole Sponsorship required

Indicate item to be provided: 200 of each item must be delivered to MPCA by Friday, September 11, 2020

DELIVERY ADDRESS: MPCA • 205 East Capitol Avenue, Suite 200 • Jefferson City, MO 65101

Check — Please make check payable to “MPCA-PAC” TOTAL: $ _____________

Credit Card — MasterCard VISA

___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___- ___ ___ ___ ___ 3-Digit Code: ______ Exp. Date: _______ Cardholder Signature: _____________________________________

2020 MPCA ANNUAL GOLF EVENT SPONSORSHIP FORMDATE: Monday, September 28, 2020 RESCHEDULED FROM JUNE 8, 2020TIME: Check-In 10:00 am (shotgun start at 11:00 am)PLACE: Osage National Golf Resort • Lake of the Ozarks, MO

A sponsorship entitles you to on-site and event publicity in MPCA publications. Sign up today — just complete this form and fax back to 573.635.3575.

MPCA • 205 East Capitol Avenue, Suite 200 • Jefferson City, Missouri 65101 • phone: 573.635.7117 • fax: 573.635.3575 • info@mpca.org

PAYMENT METHOD

MPCA

Play Fore the PAC

2020 MPCA Golf Event Promo.pdf2020 MPCA Golf Event Registration Forms.pdf