Indiana Coal Council - Annual Meeting Sponsorship

Indiana Coal Sponsorship Form

2011 Annual Meeting

December 1, 2011

Tentative Event Schedule

12:00 -2:45 p.m. Underground Committee Meeting

12:00-2:45 p.m. Board of Directors Meeting

12:00-2:45 p.m. Regulatory Affairs Committee Meeting

3:00-5:00 p.m. General Business Session

6:00 p.m. Hospitality Hour

7:00 p.m. Dinner and Dance

Name
Company Name
Home Street Address
City, State, Zip
Email
Phone
Eagle Sponsorship	$1,000
Hospitality Hour Sponsorship	$200
Committee Mtg. / Business Session Sponsorship	$500

Spam Protection: You must type in the numbers "2345" to be able to submit the form

Gift/Other Sponsorship	Please designate the monetary value and type of sponsorship preferred. Please note: payment by credit card for whatever amount is suggested must be $50, $100, or $200 or in multiples of those amounts.
Other Comments/
Checks should be made payable to the Indiana Coal Council and submitted separately to Melissa Hawk per the information below after submitting this form: Melissa Hawk Peabody Energy 7100 Eagle Crest Blvd Evansville, Indiana 47715 Fax 812-424-9064 Email: mhawk@peabodyenergy.com

Group Code "ICC"