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2013 CTBHI Belkin Golf Tournament

2013 CTBHI Belkin Golf Tournament

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Published by CTBHI
Registration form for the 2013 Howard Belkin/CTBHI Golf Tournament at Shuttle Meadow Country Club on Monday, September 9, 2013
Registration form for the 2013 Howard Belkin/CTBHI Golf Tournament at Shuttle Meadow Country Club on Monday, September 9, 2013

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Published by: CTBHI on Jul 13, 2013
Copyright:Attribution Non-commercial

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08/21/2013

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Monday, September 9, 2013
Shuttle Meadow Country Club, Kensington, CT
2013
Howard H. BelkinMemorialGolf Tournament
Thanks to our Title Sponsor 
Thanks to our Golf Cart Sponsor 
Thanks to our Hole in One Sponsor Alderman CadillacThanks to our $1 Million Shoot Out Sponsor Achieve Financial Credit Union
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Supporting leading edge breast cancer research in Connecticut 
 
Sponsorship Levels
PLATINUM SPONSOR $2,500
- Day of golf, lunch and dinner for four - Name prominently displayed on eventdisplay and website- Special recognition at reception- Tee sponsorship (2)
COCKTAIL RECEPTION &DINNER SPONSOR $2,500
- Day of golf, lunch and dinner for four - Name prominently displayed on eventdisplay and website- Special recognition at reception- Tee sponsorship (2)
GOLD SPONSOR $1,750
- Day of golf, lunch and dinner for four - Sponsorship of one Breast Cancer Survivor golfer for the day- Special recognition at reception
LUNCH SPONSOR $1,500
- Day of golf, lunch and dinner for three- Sponsorship of one Breast Cancer Survivor golfer for the day
TEE SPONSOR $200
- Recognition on one tee
RECEPTION & DINNER ONLY $75INDIVIDUAL GOLFER $250
- Day of golf, lunch and dinner for one
$1 MILLION HOLE IN ONE SPONSOR CADILLAC HOLE IN ONE SPONSOR 
NOTE:
All sponsors will be recognized on anevent day banner 
Please choose your level of participation.Return this form by August 31st with your check to:CT Breast Health Initiative, Inc.
185 Main Street New Britain, CT 06051
www.ctbhi.org
If you wish to pay by credit card, please register on-line at ctbhi.org or contact the
CT Breast Health Initiative ofce for registration processing at 860-827-7103.
Howard H. Belkin Memorial
Golf Tournament 
A Golf Tournament with a Mission.
In 10 years, the Howard H. Belkin Memorial Golf Tournament has raised approximately $285,000 for  breast cancer education and research in Connecticut.Every year, the CT Breast Health Initiative remembers its founding Chairman
Howard H. Belkin for his spirit and unwavering desire to nd a cure for Breast
Cancer.We appreciate all who participate and use their love of golf to raise monies for the statewide work of the CT Breast Health Initiative.
 
 Registration FormThe Day
#1 Name _______________________________________________________Handicap________ Address _____________________________________________________________________ Phone _____________________Email ____________________________Shirt Size _______ #2 Name _______________________________________________________Handicap________ Address _____________________________________________________________________ Phone _____________________Email ____________________________Shirt Size _______ 
#3 Name
_______________________________________________________Handicap________ Address _____________________________________________________________________ Phone _____________________Email ____________________________Shirt Size _______ #4 Name _______________________________________________________Handicap________ Address _____________________________________________________________________ Phone _____________________Email ____________________________Shirt Size _______ TOTAL $ _______________ How should your tee sign read? __________________________________________________ Item(s) donated _______________________________________________________________ 
Golfer’s name, address, phone and email (please print)
WHEN:
Monday, September 9, 2013Raindate: Monday, October 7, 2013
WHERE:
Shuttle Meadow Country Club, Kensington, CT
TIME:
10:30 am Registration, Silent Auction, Rafe
11:00 am Lunch12:00 pm Shotgun5:00 pm Cocktail Reception and Dinner on Patio,Awards and Prizes
FORMAT:
Shamble (Team prizes awarded)
CONTESTS:
$1 Million Shoot OutHole in OneClosest to the LineLongest Drive - Men and WomenPink Boat (Chipping Contest)Hot Ball Contest10th Anniversary Contest
Platinum Sponsor 
Cocktail Reception & Dinner Sponsor 
Gold Sponsor 
Lunch Sponsor 
Tee Sponsor 
Reception Only

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