GM Hole-In-One Application

Client Information (Contract to be issued to)

Dealership Name *

First Name *

Last Name *

Address

City

State

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)

City

State

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

Client Information (Contract to be issued to)

Tournament Information

Target Prize Information

Sign Information

Payment Information

About CGA

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