Joseph P. Amico Annual Memorial Outing

1. Team / Sponsor Contact: ____________________________ Affiliation: ____________________________ Phone: ____________________________ E-mail: ____________________________ Street: ____________________________ City: _______________ State: ____ Zip: _______ Number Players: ______ AmountEnclosed: $ ___________ Player 2 _____________________________ Player 3 _____________________________ Player 4 _____________________________ GHCC requires soft spikes and proper golf attire Joseph P. Amico Annual Memorial Outing Payment by 8-15- 2011 Enters you for a chance To win your single entry fee back (* 2 winners) 9/19/09 Fee is $135 and Includes: Green Fees Carts Use Of Locker Room Bag Drop PGA Scoring Range Balls Refreshments Lunch Prizes 3-Hour Open Bar with Hors D’oeuvres (6:00 to 9:00 PM) Buffet Dinner With Carving Stations www.JPAMF.com PLATINUM………………………… $1,000INCLUDES HOLE FLAG AND FOURSOME Corporate Gold Sponsor $500 Corporate Silver Sponsor $250 Corporate Bronze Sponsor $150 Individual Sponsor $100 We wish to sponsor a golf hole by contributing a cash donation in the amount of $_______________. Name_____________________________ E-mail___________________________ Phone_____________________ Make check payable to: Joseph P. Amico Scholarship Fundandmail payment to Mark Sembiante, Stratford Ct 06615 PO Box 956 “Sponsors and Committee Members are not responsible for loss or liability resulting from Memorial Outing participation.”