response card
Player or Dinner Guest Information Player or Dinner Guest Information Name 1 __________________________________________ Name 11 ____________________________________________ _________________________________________ Name Address __________________________________________ Address __________________________________________ ____________________________________________ City,Phone St., Zip _____________________________________ City, St., Zip _____________________________________ E-mail ___________________________________________ Name 2 __________________________________________ Name _________________________________________ Name 22 ____________________________________________ Address __________________________________________ Phone ____________________________________________ Address __________________________________________ City, St., Zip _____________________________________ City, St., Zip _____________________________________ E-mail ___________________________________________
Name 3 __________________________________________ Name Name 3___________________________________________ 3 __________________________________________ Address __________________________________________ Phone ____________________________________________ Address __________________________________________ City, St., Zip _____________________________________ E-mail ___________________________________________ City, St., Zip _____________________________________ Name 4 __________________________________________ Name _________________________________________ Name 44 ____________________________________________ Address __________________________________________ Phone ____________________________________________ Address __________________________________________ City,E-mail St., St., Zip _____________________________________ ___________________________________________ City, Zip _____________________________________ If you have anyany questions please call If you have questions, have any questions please call Kelly Peters the Development Office atat 516-609-2000 x313 Kelly Peters at or email [email protected] 516-609-2000 x214 or e-mail [email protected] 516-609-2000 x214 or e-mail [email protected]
School for Language and Communication Development and ABLE Community Services
17th Annual
Golf Outing Monday, August 8, 2016 The Creek
Locust Valley, NY Steak & Lobster Feast on the Beach
Golf Packages Individual Golfer ____ Foursome
Please Fill Out All Information
____
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
$600
Name: ___________________________________________
$2,300
Company: ________________________________________
Sponsorships & Dinner
Address: _________________________________________
Event Sponsor $15,000 Dinner Sponsor $10,000 Shotgun Sponsor $7,500 Brunch Sponsor $5,000 Cocktail Reception Sponsor $3,500 Table Sponsor $2,500 Halfway House Sponsor $1,800 Entertainment Sponsor $1,000 Refreshment Sponsor $800 Flag Sponsor $400 Tee Sponsor $350 Golf Cart Sponsor $250 Raffle Basket Sponsor $100
City, St., Zip:_____________________________________
___ Steak and Lobster Feast $225 ____ I cannot attend but would like to make a donation of $__________
Phone: ___________________________________________ E-mail:___________________________________________
Amount to charge: ■ Visa
■ MasterCard Master Card
$__________ ■ Amex
■ Discover
Credit Card #:____________________________________ Exp. Date: ________________ Security Code: _______
Signature ___________________________________ Enclosed is a check for: (Please make payable to SLCD)
$__________
Please mail to SLCD Development Office 100 Glen Cove Avenue, Glen Cove, NY 11542
Name 3 __________________________________________ Name Name 3___________________________________________ 3 __________________________________________ Address __________________________________________ Phone ____________________________________________ Address __________________________________________ City, St., Zip _____________________________________ E-mail ___________________________________________ City, St., Zip _____________________________________ Name 4 __________________________________________ Name _________________________________________ Name 44 ____________________________________________ Address __________________________________________ Phone ____________________________________________ Address __________________________________________ City,E-mail St., St., Zip _____________________________________ ___________________________________________ City, Zip _____________________________________ If you have anyany questions please call If you have questions, have any questions please call Kelly Peters the Development Office atat 516-609-2000 x313 Kelly Peters at or email [email protected] 516-609-2000 x214 or e-mail [email protected] 516-609-2000 x214 or e-mail [email protected]
School for Language and Communication Development and ABLE Community Services
17th Annual
Golf Outing Monday, August 8, 2016 The Creek
Locust Valley, NY Steak & Lobster Feast on the Beach
Golf Packages Individual Golfer ____ Foursome
Please Fill Out All Information
____
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
$600
Name: ___________________________________________
$2,300
Company: ________________________________________
Sponsorships & Dinner
Address: _________________________________________
Event Sponsor $15,000 Dinner Sponsor $10,000 Shotgun Sponsor $7,500 Brunch Sponsor $5,000 Cocktail Reception Sponsor $3,500 Table Sponsor $2,500 Halfway House Sponsor $1,800 Entertainment Sponsor $1,000 Refreshment Sponsor $800 Flag Sponsor $400 Tee Sponsor $350 Golf Cart Sponsor $250 Raffle Basket Sponsor $100
City, St., Zip:_____________________________________
___ Steak and Lobster Feast $225 ____ I cannot attend but would like to make a donation of $__________
Phone: ___________________________________________ E-mail:___________________________________________
Amount to charge: ■ Visa
■ MasterCard Master Card
$__________ ■ Amex
■ Discover
Credit Card #:____________________________________ Exp. Date: ________________ Security Code: _______
Signature ___________________________________ Enclosed is a check for: (Please make payable to SLCD)
$__________
Please mail to SLCD Development Office 100 Glen Cove Avenue, Glen Cove, NY 11542
