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5th Annual Joint Golf Outing Registration
Please verify reCaptcha before submitting the form.
Are you a Sponsor or an Individual Golfer?
Please Select One
Sponsorship Package
Individual Golfer
Both
All Sponsors get mentioned in our event booklet (which is handed out to all attendees) and Online Webpages
Please choose your sponsorship level:
Please Select One
Platinum Hole Sponsor $1000 (includes golf for 4 people)
Gold Hole Sponsor $ 700 (includes golf for 2 people)
Silver Hole Sponsor $400 (includes golf for 1 person)
Bronze Hole Sponsor $200 (includes hors d'oeuvres for one person)
Breakfast Sponsor $125 (includes breakfast for 1 person)
Hors d'oeuvres Sponsor $125 (includes hors d'oeuvres for one person)
Platinum Hole Sponsor for four (4) people
includes golf, breakfast, hor d’oeuvres & sponsor sign on golf course
Gold Hole Sponsor for two (2) people
includes golf, breakfast, hor d’oeuvres & sponsor sign on golf course
Silver Hole Sponsor for one (1) person
Includes golf, breakfast, hor d’oeuvres & sponsor sign on golf course
Bronze Hole Sponsor for one (1) person
Includes hor d’oeuvres & sponsor sign on golf course
Breakfast Only Sponsor for one (1) person
Includes breakfast & sign at breakfast table
Hor d’oeuvres Only Sponsor – for one (1) person
Includes hor d’oeuvres & sign at hor d’oeuvres table
Golfer 1 - Name
Golfer 1 - Phone Number
Golfer 1 - Email Address
Golfer 1 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 2 - Name
Golfer 2 - Phone Number
Golfer 2 - Email Address
Golfer 2 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 3 - Name
Golfer 3 - Phone Number
Golfer 3 - Email Address
Golfer 3 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 4 - Name
Golfer 4 - Phone Number
Golfer 4 - Email Address
Golfer 4 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Sponsor name
Wording for Sign
Submit by 6/25; if no wording for the sign is written, we will use the Sponsor Name
Sponsor Logo
Sponsor Address
Sponsor City
Sponsor State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Sponsor Zip
Sponsor Phone
Sponsor Email
Sponsor Website
How many individual golfers are participating.
Please Select One
I
2
3
4
Golfer 1 - Name
Golfer 1 - Phone Number
Golfer 1 - Email Address
Golfer 1 - Please select option
Please Select One
Golf, Breakfast & Hor d'oeuvres - $150
Hor d'oeuvres Only - $40
Golf, Breakfast and Hor d’oeuvres. $136/Early Bird Rate - $150/After June 1
Golfer 1 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 2 - Name
Golfer 2 - Phone Number
Golfer 2 - Email Address
Golfer 2 - Please select option
Please Select One
Golf, Breakfast & Hor d'oeuvres - $150
Hor d'oeuvres Only - $40
Golf, Breakfast and Hor d’oeuvres. $136/Early Bird Rate - $150/After June 1
Golfer 2 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 3 - Name
Golfer 3 - Phone Number
Golfer 3 - Email Address
Golfer 3 - Please select option
Please Select One
Golf, Breakfast & Hor d'oeuvres - $150
Hor d'oeuvres Only - $40
Golf, Breakfast and Hor d’oeuvres. $136/Early Bird Rate - $150/After June 1
Golfer 3 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
Golfer 4 - Name
Golfer 4 - Phone Number
Golfer 4 - Email Address
Golfer 4 - Please select option
Please Select One
Golf, Breakfast & Hor d'oeuvres - $150
Hor d'oeuvres Only - $40
Golf, Breakfast and Hor d’oeuvres. $136/Early Bird Rate - $150/After June 1
Golfer 4 - Affiliation
Please Select One
TBD
TBE
Both
Unaffiliated
IF PAYING BY CHECK:
Please make checks payable to
Temple Beth El
with “Golf Outing” on the memo line and mail to:
Temple Beth El
139 Winton Road South
Rochester, NY 14610
Attn: Golf Outing
Registration Forms must be in by Friday, July 15, 2022
If you have any questions, please call:
TBE: Phil Katzman (585) 473-3834 or email
Philip_katzman@urmc.rochester.edu
TBE: Evan Spindelman (585) 415-1245 or email
evans@lombardcecil.com
Please Note: Payments above $60 are tax deductible
Total fee
Fri, April 26 2024 18 Nisan 5784