INDIVIDUAL PATRON FORM

Name(s) of Patron:	_________________________________________________
Address:		_________________________________________________
			_________________________________________________

Phone:	Days		_________________________________________________
	Evenings	_________________________________________________
	Cell		_________________________________________________

E-Mail:	_________________________________________________


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 Barren River 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	Barren River 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 Barren River Lodge

 

(Patron Packages will be available for Pick Up at the 
Lodge Thurs. and Fri., May 28th and May 29th)

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 credit card order 1-270-651-3141