GC Brochure pg2 - Saint Francis Foundation

Chip In For A Cure
Golf Classic
$175 Per Golfer
1. Name_______________________________________
Address_______________________________________
City_____________________State______ Zip________
Phone________________________________________
Email_________________________________________
2. Name_______________________________________
Address_______________________________________
City_____________________State______ Zip________
Phone________________________________________
Phone________________________________________
Email_________________________________________
4. Name_______________________________________
Address_______________________________________
Chip In For A Cure
Golf Classic
ms
r Progra
ting Breast
Cance
Benefi
Benefiting Breast Cancer Programs
“Our dream is to eradicate breast cancer in our
lifetime and provide a cancer-free environment
for our children, grandchildren and their
children.”
Chip In For A Cure was founded in 1995 by
Charlene Jarvis and Sheila Wolfson to raise
money to benefit cancer research.
In 2001, Chip In For A Cure became its own
501(c)3 charity and decided to apply the proceeds
Email_________________________________________
from its fundraisers to help women in the Greater
Hartford area. We have donated more than $600,000
3. Name_______________________________________
to Saint Francis Hospital and Medical Center and
Address_______________________________________
Hartford Hospital specifically to be used for
research and breast health programs.
City_____________________State______ Zip________
3nd Annual
3nd Annual
Individual/Foursome Registration
Monday, September 28, 2015
Lyman Orchards Golf Club
70 Lyman Road
Middlefield, CT06455
Benefiting
Breast
Cancer
Programs
September 28, 2015
Golf Event Chairs:
Tracy McKaveney
Ashley Gabriel
For more information:
Visit us at www.chipinforacure.org
Email us at info@chipinforacure.org
Lyman Orchards Golf Club
70 Lyman Road
Middlefield, CT
The Chip in for a Cure Golf Classic will be held on
September 28, 2015 to kick off Breast Cancer Awareness
Month, at Lyman Orchards Golf Club in Middlefield, CT.
Please help support Chip in for a Cure in their
continuous efforts to raise funds to help women in the
Greater Hartford area in their fight against
breast cancer. ~ Thank you
City_____________________State______ Zip________
Phone________________________________________
Email_________________________________________
PAYMENT - Fill out other side of this form.
100% of the proceeds go to
Hartford Hospital
and Saint Francis Hospital
and Medical Center to benefit
the their Breast Cancer Programs.
Schedule of Events
8:30 AM - Registration & Full Breakfast
10:00 AM - Shotgun Start, Scramble Format
3:00 PM - Dinner & Awards Ceremony
Awards
1st Place - Low Gross
2nd Place - Low Gross
3rd Place - Low Gross
Closet to the Pin - Men & Women
Longest Drive - Men & Women
Entry Fee
$175 per Golfer
 18 Holes with Cart
 Full Breakfast & Snack on Course
 Cocktail Hour and Dinner
 Gift
Sponsorship Opportunities
PINK RIBBON SPONSOR
$3,000
 Naming Right to Golf Tournament
 Four (4) Golfers with Celebrity
 Welcome and Sponsor Signs with Company Logo
 Tee Sign
 Significant acknowledgement at awards dinner
 Recognition on all marketing materials
 Opportunity to include a gift in the players swag bag
 Inside Front Cover Full Page Ad in Program
BREAKFAST SPONSOR
 Two (2) Golfers
 Lunch Sponsor Sign
 Full Page Ad in Program
$1,500
COCKTAIL HOUR SPONSOR
 Two (2) Golfers
 Cocktail Hour Sponsor Sign
 Full Page Ad in Program
$1,500
DINNER SPONSOR
 Four (4) Golfers
 Dinner Sponsor Sign
 Back Cover Full Page Ad
$2,000
Registration
CART SPONSOR
$1,000
 Two (2) Golfers
 Signs on all carts with Company Logo
 Half Page Ad in Program
SNACK SPONSOR
 Snack Sponsor Sign
 Tee Sign on Course
 Half Page Ad in Program
$500
Yes - I/We would like to participate

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
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Pink Ribbon Sponsor
Breakfast Sponsor
Cocktail Hour Sponsor
Dinner Sponsor
Cart Sponsor
Snack Sponsor
Tee Sign
Dinner Only
$3,000
$1,500
$1,500
$2,000
$1,500
$500
$100
$50
Donations
$___________
Other Opportunities

Tee Sign
Dinner Only
TOTAL PAYMENT:
$100
$50
Deadline for Program Ad’s is September 3rd.
Color or Black & White, jpegs, PDF or tiff files accepted.
Email your ad to msansivero@kmbs.konicaminolta.us
Full Page Ad size: 5x8 vertical
Half Page Ad size id 5x4 horizontal
Benefiting
Breast
Cancer
s
Program
t Cance
Breas
$175/player x___ players = $___________
Sign up before September 1, 2015 and pay $160/player
$___________
Company Name________________________________
Company Contact_______________________________
Address_______________________________________
City_____________________State______ Zip________
Phone________________________________________
Email_________________________________________
PAYMENT
 Check - Make checks payable to: Chip In For A Cure
Mail to: CIFAC Golf Classic, P.O, Box 374, Bloomfield, CT 06002
 VISA
Chip In For A Cure
Golf Classic
ams
r Progr
iting
Benef
 MC
 AmEx
 Discover
_____________________________________________
Card#
Exp. Date____________
CVC Code_________
_____________________________________________
Name on Card
_____________________________________________
Signature