11 th Annual
Bad Pants Open

benefiting
Texas Children's Newborn Center


Tuesday, October 14, 2008
Cypresswood Golf Club

   Click here to download a copy of this form.

Name (as is should appear in all printed material):

Contact Person:

Address:

Address (line 2):

City:

State:

Zip:


Daytime Phone Number (xxx-xxx-xxxx):
Ext.:

Fax Number (xxx-xxx-xxxx):

Email address:


Sponsorship Opportunities (please check one):
$15,000 Reception Sponsorship
$10,000 Knicker Sponsorship
$6,000 Plaid Sponsorship
$4,000 Bellbottom Sponsorship
$2,000 Polyester Sponsorship
$500 Hole Sponsorship
$350 Paisley Sponsorship


Payment Information (please check one):
I am unable to attend, but I would like to make a donation to the
    Newborn Center.
I will be paying with a credit card. Please contact me for my card
    information.
I will be paying by check made payable to Texas Children's Hospital.
Please send me and invoice.

IMPORTANT
After clicking the "Submit" button (above), you must click "Send" to successfully submit the order form.

Someone will contact you shortly to confirm this form.

Payment is due by Monday, October 1, 2008.


Please send all checks to:
Jessica Ortega
Texas Children's Hospital
P.O. Box 300630 MC 4-4483
Houston, TX 77230-0630

Office: 832-824-2124      Fax: 832-825-1115
jnortega@texaschildrens.org