Association of insurance adjusters and associated service providers
Membership Application

Become a Hole Sponsor


When: Friday, April 11, 2014
Shotgun Start at 8:30 a.m.

Where: The Eagles Golf & Country Club
16101 9 Eagles Dr., Odessa, FL 33556
(813) 920-6681

The claims management & staff from insurance companies such as: Allstate, Amerisure, Auto Owners,
Direct Adjusting, CNA, E-surance, Federated, Fireman’s Fund, First Floridian, Florida Farm Bureau, GEICO,
Liberty Mutual, Mercury, Nationwide, Travelers, Unitrin Direct, USAA, Zurich, as well as other insurance
companies, independent insurance adjusting companies and vendors have sponsored holes during our past
Door prizes will be given for all Par 3’s (Closest to the Pin, Longest Drive, Shortest Drive, Most Accurate
Drive, etc.). You must have a prize valued at a minimum of $75.00 for the winner of your sponsored hole.
Confirm any other door prizes that will be brought the day of the outing.
Hole sponsors must provide their own hole signage.


__ Individual Hole Sponsorship - (34 Available) - $300.00 (excluding Putting Green Hole and Hole #1 & Hole #10 on the Lakes)
__ Individual Hole Sponsorship for Hole #1 & Hole #10 on the Lakes - $500.00 (Premium Course Location)
__ Continental Breakfast - (2 Available) - $ 350.00 each
__ Trophies/Awards - (2 Available) - $375.00 each
__ Putting Green - (2 Available) - $500.00 each
__ Premium Course Locations (Near the Country Club) - $500.00 each

Total Sponsorship:

Company Sponsor Name:




Team Contact Person:



All moneys are due by April 2, 2014. Please make checks payable to the West Coast Claims
Association and mail along with you sponsorship forms to 8307 Temple Terrace Hwy, Tampa, Fl 33637.