P a y m e n t I n f o r m a t i o n Event Schedule Name: _______________________________ Company:_____________________________ Address:_______________________________ 21st (almost) Annual Charity Golf Tournament _______________________________ 516 Griffin Road South Windsor, CT Carrying on the tradition of New Seasons, Inc. Phone #:______________________________ 4 - rating from Golf Digest! Tuesday, September 21, 2021 # Golfers ________ @ $160 ea= $_________ Tuesday, September 21, 2021 Scramble – Foursome Teams Topstone Golf Course Foursomes ________ $600 = $___________ South Windsor, CT 10:00 am Registration ************* DISCOUNT*************** $160/per golfer or $600/foursome Fees include: Save $10/golfer if registered by 8/20/2021: 11:00 am Shotgun Scramble Start Greens fees, cart, lunch & dinner Less: $10 x # golfers_______= $_________ Lunch will be served at the turn Special Discount for *********************************** Early bird Registration Sponsorship ____________ = $__________ Dinner/Awards/Raffle following Golf Prior to Friday, 8/20/2021 PLUS each early bird golfer will be Dinner only _______ @$40 = $__________ (Dinner only: $40.00) entered for a chance to golf FREE! Total Enclosed: $_________ Highlights for 2021 Tournament Please make checks payable to: On-course Contests Network, Inc. Extensive Raffle Mail check and this form to: Post Golf Reception Network Inc. Buffet Dinner 15 Welles Rd. Vernon, CT 06066 **NEW** Register early to be entered to win a rebate on golf Network’s Mission Statement fees! (awarded day of event) Enriching the lives of people who have a disability in the spirit of caring, dignity, For more information, please contact Mickie respect and independence. Bettencourt at: Network, Inc. is a 501(c)3 charitable [email protected] organization & is a registered public charity (860)742-1313 x55401 or visit: with the State of CT. (Tax ID: www.networkhumanservices.org 223116935) www.facebook.com/networkhumanservices/ Sponsorship/Affiliation Opportunities ___ Yes, I/We want to be a sponsor in Network, Inc. 21st Annual Charity Golf Tournament Registration Form to be held on Tuesday, September 21, 2021! $160 per golfer ____ 12th Hole ’Split the Pot’ Sponsor—$300 $600 per foursome ___ Dinner Sponsor—$2000 Early Bird Special: Sign on contest hole Signage displayed all day Save $10/golfer if registered by Listing in Program & Publicity Foursome 8/20/2021 $5.00 entry Listing in Program & Publicity __ Tee Sign—Exclusive Sponsor—$300 ___ Cart —$1500 Sign on designated hole Sign on all golfer’s carts Golfer #1 :_______________________________ Listing in Program & Publicity Twosome Company:_________________________________ ___ Longest Drive Sponsor—$250 Listing in Program & Publicity Sign on contest hole Address: ________________________________ ___ Lunch—$1200 Listing in Program & Publicity Email: _______________________________ Signage displayed all day ___ Closest to the Pin Sponsor—$250 Listing in Program & Publicity Phone #: ________________________________ ___ Post Golf Reception—$1000 Sign on contest hole Listing in Program & Publicity Signage displayed during all day ___ Closest to the Line Sponsor—$250 Golfer #2 :_______________________________ Listing in Program & Publicity Sign on contest hole Company:_________________________________ Sign on contest hole Listing in Program & Publicity ___ Hospitality Cart—$750 Address: ________________________________ ___ Tee Sign—$100 Sign on all beverage carts Email: _______________________________ Sign on hole Listing in Program & Publicity Phone #: ________________________________ Listing in Program & Publicity Sign on contest hole ___ Booklet/Rule Book Advertising— □ ___ 8th Hole ’Split the Pot’ Sponsor—$300 Exclusive Full Back Page—$300 Golfer #3 :_______________________________ Sign on contest hole □ Full Page—$250 □ Half Listing in Program & Publicity Company:_________________________________ Page—$150 $10.00 entry Address: ________________________________ 1/4 Page—$125 □ Email: _______________________________ Thank you for making a difference in the lives of people with developmental disabilities by being a sponsor for this charity Phone #: ________________________________ golf tournament. Golfer #4 :_______________________________ For more information on sponsorships: Company:_________________________________ Mickie Bettencourt Address: ________________________________ [email protected] / (860)742-1313 x55401 Email: _______________________________ Mail check and this form to: Phone #: ___________________________________ Network, Inc. 15 Welles Rd, Vernon CT 06066 Visit us @ www.networkhumanservices.org www.facebook.com/networkhumanservices .