Registration

Registration must be received by April 14, 2011

Sponsor Level Opportunities

o Stars & Stripes Sponsor $5,000
o Red White & Blue Sponsor $2,500
o Honor Sponsor $1,500
o Courage Sponsor $1,000
o Patriot Supporter $250
o Individual Supporter $100

Golf Signup

Includes Lunch, Dinner, Golf Cart, Green Fees

o Foursome $600 o Single $150 o Dinner Only $50

Player Information

Please submit full amount for golfers listed.

1. _____________________________ E-mail _____________________________
2. _____________________________ E-mail _____________________________
3. _____________________________ E-mail _____________________________
4. _____________________________ E-mail _____________________________

T-Shirt Size ________

T-Shirt Size ________
T-Shirt Size ________
T-Shirt Size ________

Donation

o $Amount __________ _Raffle Item ________________________ _ Auction Item _______________________

Name:_________________________________________________
Corporate Name: ________________________________________
Address: _______________________________________________
City/State/Zip: __________________________________________
Phone: ________________________________________________
Email: _________________________________________________
Total Amount Submitted: ___________________
Please make checks payable to:
Lt. Timothy J. Steele Memorial Fund

To pay by credit card:

Please visit www.steelememorial.eventbrite.com

Mailing Address:
C/O Paul Desmond, 11 Hunt Farm Drive, Duxbury, MA, 02332
Payment concerns please e-mail Paul Desmond at desmond11@comcast.net
Weather:
If Duxbury Yacht Club is forced to cancel golf due to inclement weather, there will be no refunds or vouchers
issued. Reception and dinner will take place as scheduled at Holy Family rain or shine.
Alcohol Policy:
Please note the Duxbury Yacht Club strictly prohibits and enforces a no alcohol policy on the premises
Tax Receipt Policy:
Available upon request, please e-mail Paul Desmond at desmond11@comcast.net
o (check if receipt requested)
Thank You!