"Hearts & Hands" Sponsorship Commitment Form

Thank you for your interest in supporting the 12th annual "Hearts & Hands" Golf Tournament. 

Your commitment helps guarantee the success of this Event and allows us to fulfill our mission of keeping families together throughout their medical crisis. 

You can fill out the sponsorship information below and submit to us online for processing or, if you prefer, you may print the attachment below, fill it out, and fax back to us for processing. If you have any questions, please call Susan Yaksh at 706-321-0033, ext. 104.


Company Name Required

Mailing Address Required

City, State and Zip Code Required

Contact Person Required

Email Address Required

Phone Number Required

Fax Number Required

What sponsorship level are you interested in? Required

Would you like to be invoiced for the sponsorship amount? Required

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