Hole-In-One Insurance Quote Form
www.tee-signs.com
1-800-280-6044
E-mail
Name of Applicant
Address
City
State
Zip
Phone
Fax
Event Name
Event Date
Total Participants
Amateurs
Professionals
Golf Course
Telephone
City
State
Hole-In-One Coverage:
"No Hassle" Hole-In-One Program
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
"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
Dream Vacation Prize Option
Scotland
Ireland
Hawaii Cruise
Kapalua Golf Vacation
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
Hole #
Yardage
$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
"Big Bucks" Shots
We also offer $150,000 to $500,000 CASH Shots
Hole #
Yardage 165+ yards
Cash Value
# of Amateur Shots
# of Professional Shots
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
Hole-In-One Sponsor Signage
Please Provide
Not Required
24" X 18"
36" X 24 "
Sponsor Name
Hole #
Sponsor Name
Hole #
Sponsor Name
Hole #
Sponsor Name
Hole #
Signs 24" X 18"
$15.00 Each
Signs 36" X 24"
$26.00 Each (plus actual shipping cost)
Shipping - 24" X 18" Signs
(Signs ordered on Business Day #1 are shipped on Day # 2.
Signs are shipped UPS Ground or UPS 3 Day to arrive 2 Days before the Tournament.
This allows UPS to slip by one day and still arrive the day before your tournament.)
UPS Ground
$10.00 per Shippment (up to 5 signs)
UPS 3 Day Shipping
$17.00 per Shippment
UPS 2 Day Shipping
$25.00 per Shippment
UPS Overnight Shipping
$50.00 per Shippment - delivery by 10:30AM in most cases
UPS Overnight Shipping Early AM
$80.00 per Shippment - delivery by 8:30AM in most cases *where available
UPS Saturday Delivery
$70.00 per Shippment - delivery by 10:30AM in most cases
* where available
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.
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.
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