INDIVIDUAL PATRON FORM Name(s) of Patron:____________________________________ Address_____________________________________________ __ __________________________________________________ Phone: Days__________________________________________ Evenings_______________________________________ email ________________________________________________ GOLD PATRON $300.00 _________ (2) Lunch with Chief (2) City of Glasgow Ceilidh (2) Breakfast (2) Games tickets Sat & Sun (2) Tartan Ball (2) Souvenir Pins (2) Souvenir Programs (1) Patron Parking Permit (2) Name Badges & admission to Sponsors reception held Saturday 7pm-8pm at the Lodge SILVER PATRON $170.00 _________ (2) Celtic Rock Concert (2) City of Glasgow Ceilidh (2) Breakfast (2) Games tickets Sat & Sun (2) Souvenir Pins (2) Souvenir Programs (1) Patron Parking Permit (2) Name Badges & admission to Sponsors reception held Saturday 7pm-8pm at the Lodge BRONZE PATRON $145.00 _________ (2) Celtic Rock Concert (2) City of Glasgow Ceilidh (2) Games tickets Sat & Sun (2) Souvenir Pins (2) Souvenir Programs (1) Patron Parking Permit (2) Name Badges & admission to Sponsors reception held Saturday 7pm-8pm at the Lodge Patron Packets will be available at the Lodge for pickup on Thurs & Fri May 29 & 30 Make Check payable to: GLASGOW HIGHLAND GAMES Mail to: 119 East Main Street Glasgow, KY 42141 or *We Accept MasterCard & Visa - Call the office to place your CC order 1-270-651-3141*