tee-signs
Hole-In-One Insurance Quote Request
www.tee-signs.com
1-800-280-6044
*
Email
Name of Applicant
Organization/Company
Address
City
State
Zip
*
Phone
Fax
Event Name
Event Date
Golf Course
Telephone
City
State
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Hole-In-One Coverage Options:
"No Hassle" Hole-In-One Program
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
Please enter a phone number to contact you r
# of Amateur Shots
# of Professional Shots
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"Build Your Own" Hole-In-One Program
($1,000 - $500,000 per hole)
Hole #
Yardage
Prize Value
Description
Hole #
Yardage
Prize Value
Description
Hole #
Yardage
Prize Value
Description
Hole #
Yardage
Prize Value
Description
Hole #
Yardage
Prize Value
Description
Hole #
Yardage
Prize Value
Description
# of Amateur Shots
# of Professional Shots
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$1,000,000 Shot
Hole #
Yardage 165+ yards
# of Amateur Shots
# of Professional Shots
Payout
Select Payout Type
CASH
40 Year Annuity
20 Year Annuity
10 Year Annuity
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"Big Bucks" Shots
$150,000 to $500,000 CASH Shots
Hole #
Yardage 165+ yards
Cash Value
Hole #
Yardage 165+ yards
Cash Value
# of Amateur Shots
# of Professional Shots
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Putting - Chipping - Sand - Circle Shot (s)
Putting Shots
Length of Putt
Select Length of Putt
60 feet
50 feet
40 feet
# of Shots
Cash Value
Chipp
ing Shots ($1,000 to $25,000)
Length of Chip
Select Length of Chip
50 feet
100 feet
# of Shots
Cash Value
Sand Shots ($1,000 to $25,000)
Length of Shot 75 feet
# of Shots
Cash Value
Circle Shots
Length of Shot 165 yards
# of Shots
3 Foot Circle
$1,000 Cash Value
6 Foot Circle
$2,000 Cash Value
Remarks / Comments:
We will beat any competitive Quote by 10% or More.
FAX quote to 602-274-2120 for Comparison
We respond to all quote requests within 24 hours or call for an Immediate Quote
www.tee-signs.com
1-800-280-6044
ONCE WE CONFIRM YOUR ORDER WE WILL ASK YOU TO CALL US AT
1-800-280-6044
WITH YOUR CREDIT CARD INFORMATION.