PLAYER REGISTRATION Hosted By $275 per player (includes BBQ lunch & reception) Hosted By

Player #1

Address

City State Zip

Phone Email

Tee Time: __ 7:15 am __ 1 pm Attending Reception: __Yes __ No

Player #2

Address

City State Zip onsored B Sp y Phone Email

Tee Time: __ 7:15 am __ 1 pm Attending Reception: __Yes __ No

Player #3 WEDNESDAY, JUNE 11, 2014 AM & PM Tee Times Address 2014 TOURNAMENT COMMITTEE City State Zip ATLANTIC CITY COUNTRY CLUB Phone Email NORTHFIELD, NJ Alan Beatty Barbara Harper Tee Time: __ 7:15 am __ 1 pm Attending Reception: __Yes __ No Susan Biscieglia Jean Jacobson

Player #4 Lisa Boccabella John Miller

Address Steven Brady Bob Robertson

City State Zip Tricia Ciliberto Gabe Staino

Phone Email Cathy Fennen Patrick Stewart

Tee Time: __ 7:15 am __ 1 pm Attending Reception: __Yes __ No Pat Fitzsimons Derek Suragh Chris Ford Rick Traa PAYMENT OPTIONS LaRue Frick Check or Credit Card: VISA MC AMEX DISCOVER (circle one)

Account # onsored B Sp y Exp. Amount

Name

Make checks payable to:

THE AUXILIARY OF SHORE MEDICAL CENTER 100 Medical Center Way, Somers Point, NJ 08244 GiveToShore.org SPONSORSHIP OPPORTUNITIES All sponsors will receive recognition in the tournament program Inner Circle Sponsor $7,500 Sponsor board signage, sign on each cart, foursome & 4 additional reception guests Cocktail Reception Sponsor $5,000 Sponsor board signage, signage in the clubhouse, foursome & 4 additional reception guests Diamond Sponsor $2,500 Sponsor board signage, foursome & 4 additional reception guests WEDNESDAY, JUNE 11, 2 014 Luncheon Sponsor $2,000 ATLANTIC CITY COUNTRY CLUB Signage in clubhouse & 4 guests for BBQ lunch Northfield, NJ Emerald Sponsor $1,500 Sponsor board signage, 2 golfers & 2 additional reception guests Driving Range Sponsor $1,500 PLAYER REGISTRATION Signage at range & 2 reception guests $275 PER PLAYER Foursome Sponsor $1,100 Includes BBQ Lunch & Cocktail Reception ATLANTIC CITY COUNTRY CLUB Beverage/Snack Cart Sponsor $1,000 One sponsor per flight - Refreshment site signage The ideal blend of deeply rooted golf tradition and SHOTGUN START today’s state-of-the-art technology makes the Atlantic 7:15 AM or 1:00 PM Breakfast Sponsor $1,000 - Signage in clubhouse City Country Club unlike any other in the world. The Club Restricted to 128 players each Platinum Sign $500 has been renovated on several occasions before being Gold Sign $300 restored to its current state in the spring of 2000. COCKTAIL RECEPTION AND AWARDS CEREMONY Silver Sign $175 Founded in 1897, and located on approximately 170 6:00 PM acres, the Atlantic City Country Club proudly carries the Please complete the front and back of the form (if appropriate) distinctions of “The Birthplace of the Birdie,” as well as and return in the enclosed envelope by May 23, 2014. being the site where the term “Eagle” was coined. The SCORING original Club layout hosted the 1901 US. Amateur, and SCORING LOW GROSS & STRAIGHT Name has also played host to three U.S. Women's Opens, won CALLAWAY FOR MEN & WOMEN by Babe Didrickson Zaharias in 1948, in 1965, Company and Sandra Palmer in 1975 (with amateur placing second). CLOSEST TO THE PIN PRIZES Contact Person Among the early professionals who played the Atlantic GOLF VACATION FOR TWO TO BERMUDA City Country Club were two-time U.S. Open champion Address Johnny McDermott, Ed Dudley and Wilfried Reid. The GOLF FOURSOMES AT LOCAL COUNTRY CLUBS Club hosted everyone from Bob Hope to Howard Everitt AND GOLF COURSES City State Zip to Coast Guard seaman Arnold Palmer (Cape May, 1951-52) to . HOLE-IN-ONE PRIZES Phone Email The Atlantic City Country Club was the site of the first LUXURY VEHICLES FROM Sign to read Champions Tour event in 1980. In celebration of its 25th anniversary, the Champions Tour returned to Atlantic ADDITIONAL RECEPTION GUESTS: $75 each City Country Club in September 2004 for the inaugural Cocktail Reception and Awards Ceremony begins at 6 pm. Atlantic City Commemorative. Names

For more information call 609.653.4646 | fax 609.653.3932 Proceeds raised by the Auxiliary of Shore Medical Center benefit Shore or visit www.GiveToShore.org Medical Center’s Outpatient Diagnostic Imaging & Women’s Center