Golfer Registration Golfer 1 (Contact Person) Name: ______________________________ Add: ______________________________ City: ________________________St: ___ ZIP: ________ Tel: __________________ E-mail: ______________________________ Golfer 2 Name: ______________________________ Add: ______________________________ City: ________________________St: ___ ZIP: ________ Tel: __________________ E-mail: ______________________________ Golfer 3 Name: ______________________________ Add: ______________________________ City: ________________________St: ___ ZIP: ________ Tel: __________________ E-mail: ______________________________ Golfer 4 Name: ______________________________ Add: ______________________________ City: ________________________St: ___ ZIP: ________ Tel: __________________ E-mail: ______________________________ Make check(s) payable to: Lehigh Valley Active Life Mail to: Lehigh Valley Active Life 1633 W Elm St. Allentown PA 18102 Or, you may register on our web site: www.LVActiveLife.org and pay using Paypal. All contestants must be 18 years of age or older to participate in games of chance. A fun day of Golfing, Games and Prizes Dinner brought to you by our 19th Hole Sponsor Hole In One Prize 2015 Nissan Rogue Courtesy of Rothrock Motors Allentown THE A L L E N TOW N M AYO R ’ S 9 T H A N N UA L CHARITY GOLF CLASSIC Winning Team Name Engraved on the Mayor’s Cup Golf Tournament & Dinner Friday June 5, 2015 Our $1,000 Cart Sponsors Bennett Automotive Group Boyle Construction, Inc. Communication Systems, Inc. Florio, Perrucci, Steinhardt & Fader International Union of Operating Engineers Local 542 Peirce Park Group, Inc Steamfitters Local Union 420 For Questions Contact: Diane Nolan at 610-437-3700, or [email protected], or www.lvactivelife.org Tournament & Dinner held at Allentown Municipal Golf Course 3400 Tilghman St Allentown PA 18104 Keep this section Tournament Format Return these sections Tournament Sponsor Levels 4 person scramble with a shotgun start 7:00 a.m. Registration 9:00 a.m. Shotgun Start 2:00 p.m. Dinner at the course. Awards and Recognition (Includes 18 Holes of Golf with Cart, small bucket of range balls. Hot dog at turn. Dinner and presentations immediately follow at the course.) All checks and ad materials must be received by May 8, 2015 to be included in the tournament program. Raffle Tickets for a variety of prizes will be available throughout the day. Prizes Awarded: Champion Team name on Mayor’s Trophy Hole in One Prize Mayor Ed Pawlowski: “Lehigh Valley Active Life provides needed programs and services for senior citizens, and I’m proud to support them.” All checks or charges and ad material must be received by May 8, 2015 to be included in the tournament program. Mayor’s Circle Sponsor - $5,000 Sponsor Level: ________________________________ Tournament banner, cover of event booklet, hole sponsor display, company link on the LVAL & Allentown websites, ad in the LVAL newsletter, 2 foursomes Company Name: _______________________________ 19th Hole Sponsor - $2,500 Tent banner, listing in event booklet, hole sponsor display, company link on the LVAL & Allentown websites, ad in the LVAL newsletter, 1 foursome, Cart Sponsor - $1,000 Name on all carts, full page ad in event booklet, company link on the LVAL website, 1 foursome, Mulligan's will be sold at the registration table prior to the start of the tournament. Pot O’ Gold tickets will be available at the registration table. Tournament Sponsor Registration Hole-in-One Sponsor - $ 750 Hole sponsor display, half page ad in the event booklet, 1 foursome (only 1 sponsor) Eagle Package - $ 500 Hole sponsor display, half page ad in the event booklet, 1 foursome Hole Sponsor Golf & Dinner Mailing Address: _______________________________ City: ______________________ State: ____ ZIP: __________ Phone: ________________________ Fax: ________________________ E-mail: _______________________________________ Web Address: _________________________________ Payment Methods Make check payable to and mail to: Lehigh Valley Active Life 1633 W Elm St Allentown PA 18102 Or, indicate payment by credit card. Complete card details and include signature and mail to above address. - $ 125 Or, you may register on our web site: www.LVActiveLife.org and pay using Paypal. - $ 100 If paying by credit card , please complete the following: Sign at hole Contact Name: ________________________________ Donation Form Items are needed for prizes. We hope you will join in the excitement and support this event to benefit Lehigh Valley Active Life Printer’s deadline is May 8th. Items received by this deadline will be listed in the program booklet Please contact Diane Nolan if you have any questions. Tel: 610-437-3700 Fax: 610-437-6252 E-mail: [email protected] Donation Item: ________________________________ Estimated Value: $: _____________________ Expiration Date: _______________________ I cannot attend but wish to contribute: $: ______________________ Donor Name: __________________________________ Additional Advertising Opportunities in Tournament Program Booklet Full Page Ad ½ Page Ad Dinner - $100 - $ 75 - $ 50 Amt $: _______ Card Nbr: _______________________ Exp. Date: _________________ Signature: ___________________________________ Visa/MC/AMEX: CV#: ______________ Contact Name: _________________________________ Donor Address: ________________________________ City: ______________________ State: ____ ZIP: __________ Phone: ________________________ Deadlines Printer’s Deadline for Booklet: May 8, 2015. Golfer Entry Deadline: May 29, 2015. E-mail: _______________________________________ Web Address: _________________________________ Thank you for your support!
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