Navigation
Hole-In-One Application
FAQ
Contact Us
Contests & Promotions
Media Contests
Conditional Rebates
Get a Quote
Crack The Code To WIN
Dice Roll
Direct Mail Promotions
Magic Number Safe
Scratch Cards
Weather Insurance
Sports Contests
Baseball Promotions
Basketball Promotions
Fishing Contests
Football Promotions
Hockey Promotions
Lacrosse Promotions
Soccer Promotions
Golf Tournament Add-Ons
Hole-In-One Insurance
Hole-In-One Signs
Million Dollar Shot
Putting Promotions
Register Your Hole In One
Scratch Card
Sponsor Signs
Home
»
GM Hole-In-One Application
Please complete the application below. Click
here
to download the application.
GM iMR Turnkey Application
Client Information (Contract to be issued to)
Dealership Name
*
First Name
*
Last Name
*
Address
*
Address
Address
Address
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Zip
Phone
*
Email
*
BAC Code
6 digit code
Tournament Information
Tournament Title
*
Tournament Date
MM/DD/YYYY
Number of Amateur Players
*
Number of Club Pro’s
Number of Touring Pros
Target Prize Information
Golf Course *
*
Course City
*
Course State
*
Course Phone:
Target Hole Number
*
Target Hole Yardage
*
Vehicle Value
*
Vehicle Description
*
Additional Prizes
*
Yes, I do want the additional prizes
No, I do not want the additional prizes
Sign Information
Sponsor’s Name
Please write exactly as it should appear on the sign.
Logo (please email logo to info@cgainc.com)
Please print my logo on the target sign
Company
Ship To: Attention/Department
Address (Cannot ship to a PO Box)
Address (Cannot ship to a PO Box)
Address (Cannot ship to a PO Box)
Address (Cannot ship to a PO Box)
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Zip
Payment Information
Payment Method
Bill my Dealer Open Account (BARS)
I will send a check or pay by credit card
iMR (Co-Op)
Yes, eligibile charges will be submitted through Dealership’s iMR (Co-op) advertising account including GM matching funds.
No, iMR (Co-op) will not be charged
If you are human, leave this field blank.
Submit