JUNE 30, 2011 REGISTRATION INFORMATION

Registration: 7: 30 – 8:15 a.m.

Shotgun: 8:30 a.m. Dinner: 3:30 p.m.

FIRST NAME: _______________________ LAST NAME: _______________________________ ADDRESS: _____________________________________________________________________ ______________________________________________________________________________ CITY: ______________________________ POSTAL CODE: _____________________________ PHONE: _________________________ FAX: ______________________________________ EMAIL: ________________________________________________________________________ GOLFER’S NAME COMPANY EMAIL SHIRT SIZE _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ NUMBER OF PLAYERS (Registering prior to May 17, 2011) _____ @ $180* EACH = $ __________ NUMBER OF PLAYERS (Registering after May 17, 2011) _____ @ $200* EACH = $ __________ *Includes: driving range, cart, golf, dinner, prizes DINNER, AUCTION & SPECIAL GUEST SPEAKER ____ @ $49.99 EACH = $ __________

Payment is required with registration. Your registration will be confirmed within one week of receipt of payment. Receipts upon request. You must be in attendance to be eligible for prizes. REGISTRATION OPTIONS: 1. Fax in this form and mail cheque to address listed below. 2. Mail in this form with cheque payable to 'SDB Charity Golf' 3. Phone in registration to Diane Jones at 403-201-1232 ext 117 and mail in cheque. Please check appropriate selection (s)

I would like to donate a team prize

I would like to donate an individual prize

I am interested in other sponsorship opportunities

Please call me with more details

RETURN REGISTRATION TO: REGISTRATION DEADLINE: JUNE 16, 2011 Silvercrest Insurance Group Notice of cancellation or change must be provided by Suite 325, 40 Sunpark Plaza SE Tuesday, June 16, 2011 to Diane Jones (403-201-1232). Calgary, AB T2X 3X7 Full cost of registration will be charged after June 17, 2011. Or by fax: 403-201-1705 No shows will be charged. (Medical emergencies excluded).

PAYMENT BY CHEQUE ONLY.

2ND ANNUAL CHARITY GOLF TOURNAMENT

SPONSORSHIP OPPORTUNITIES

GOLD SPONSOR One complementary foursome, 8 Free drink tickets, Your

$1200 Company logo on all advertising for tournament

PLATINUM SPONSOR One complementary foursome, 8 Free drink tickets, 4 Golf Shirts, 4

$2500 Baseball caps, Your Company logo on all advertising for tournament

DIAMOND SPONSOR Two complementary foursomes, 16 free drink tickets, 8 golf shirts, 8

$5000 golf jackets, Your Company logo on all advertising for tournament

Hole Sponsorship Live Auction Sponsorship

Silent Auction Sponsorship Door Prize Sponsorship Max Prize Sponsorship

Monetary Donations (Money) To become a Sponsor or for more details contact: Diane Jones (403-201-1232 ext 117) or Mike Bradley (403-542-6700). Payment must be made prior to June 16, 2011.

SPONSORS

JUNE 30, 2011 CHARITY GOLF TOURNAMENT

Registration & Breakfast: 7: 30 – 8:15 a.m.

Shotgun: 8:30 a.m. Dinner: 3:30 p.m.

SPONSORSHIP CONFIRMATION FORM COMPANY NAME: _______________________________________________________________ FIRST NAME: _______________________ LAST NAME: _______________________________ ADDRESS: _____________________________________________________________________ _______________________________________________________________________________ CITY: ______________________________ POSTAL CODE: _____________________________ PHONE: _________________________ EMAIL: _____________________________________ SPONSORSHIP OPTIONS:

Hole Sponsor .................. $500 minimum Prize

Gold Sponsor .................. $1200

Platinum Sponsor .......... $2500

Diamond Sponsor .......... $5000

Other Sponsor ................. No Minimum, Conact us to discuss options

Prize Donated: ____________________________________________________________ Payment is required with confirmation. Your confirmation will be confirmed within one week of receipt of payment. Receipts upon request. Payment by cheque only, made out to Silvercrest Insurance

If the sponsorship option you have selected includes a foursome, please complete the following: GOLFER’S NAME COMPANY EMAIL SHIRT SIZE _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________

Name (Please Print): _____________________________________ Date: ________________________ Signature: ____________________________________________________________________________

RETURN FORM TO: Silvercrest Insurance Group Suite 325, 40 Sunpark Plaza SE Calgary, AB T2X 3X7 Full cost of Sponsorship will be charged after June 17, 2011. Email: diane@silvercrestinsurance.ca No shows will be charged. (Medical emergencies excluded). Or by fax: 403-201-1705