100 Club Of Buffalo

Please fill out our convenient online form for the following:

• Joining or Renewing Membership(s)
• Sponsorships

If you would like to become a sponsor, or renew your current sponsorship/membership to The 100 Club, please complete the below form:

APPLICANT INFORMATION
First Name:		Last Name:
DOB (mm-dd-yyyy):		Email:		Phone:
Address:
City:		State:		ZIP:
I would like to receive decals for my automobiles.
SPONSORING MEMBERS CONTACT INFORMATION (If Applicable):
Name:
Address:
City:		State:		ZIP:
Please select from one or all of the three categories below:
1) Membership / Renewal
Please select a membership / renewal option from the list below: Active First Responders - $75 Individual Membership/Renewal - $150 Joint Membership (for 2) - $250 Family Membership (for 4) - $400
2) Sponsorship
Please select a sponsorship level below: Lieutenant Sponsorship - $1,000 Captain Sponsorship - $2,500 Chief Sponsorship - $5,000 Commissioner Sponsorship - $10,000
3) Donate
Credit Card Number:		Exp Date: (mm/dd/yyyy)		CIV:
Please enter donation amount below: Donate:
Please enter the captcha code displayed:

Benefits of sponsorship include:

Commissioner - $10,000

• Five 100 Club one-year memberships
• Five 100 Club car emblems
• Acknowledgements in new releases, 100 Club newsletter and website as well as in the program books for the Hero’s Dinner, and Golf Tournament.
• Quarterly ads (1/4 page) in Buffalo Police publication, Blue Line
• Quarterly ads (1/4 page) in the Erie County Fire Service publication
• Full page ads in all 100 Club event publications (Golf invitation and program book, Hero event program).
• Opportunity to disply materials at 100 Club events (table provided)
• Banner on 100 Club website. Hotlink to your website.

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Chief - $5,000

• Five 100 Club one-year memberships
• Five 100 Club car emblems
• Four tickets to the Hero’s Dinner with your name on the invitation
• Foursome to play golf  at the Scholarship Golf Tournament including sponsor signs on 9 tees
• Acknowledgements in new releases, 100 Club newsletter and website as well as in the program books for the Hero’s Dinner, and Golf Tournament

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Captain - $2,500

• Two 100 Club one-year memberships
• Two tickets to the Hero’s Dinner
• Foursome for the Scholarship Golf Tournament
• Acknowledgements in new releases, 100 Club newsletter and website as well as in the program books for the Hero’s Dinner and Golf Tournament

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Lieutenant - $1,000

• One 100 Club one-year membership
• Two tickets to the Hero’s Dinner
• Two tickets to play golf at the Scholarship Golf Tournament as well as one sponsor sign
• Acknowledgements in 100 Club newsletter and website as well as in the program books for the Hero’s Dinner, and Golf Tournament

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