Detach this section and return Reservation and Checks made out to:

10th Annual
An Invitation to the

Derby Grid-Iron Club To:

DERBY
GRID-IRON GOLF TOURNAMENT
Lorie McCormack 281 Olivia Street Derby, CT 06418 Saturday, July 28, 2012

For Additional Information, Contact George French @ 203-231-0721 Lorie McCormack @ 203-735-7147

Derby Grid-Iron Club Lorie McCormack 281 Olivia Street Derby, CT 06418

BENEFITTING DERBY HIGH SCHOOL FOOTBALL

IN MEMORY OF TIM GAROFALO

Whitney Farms Golf Course 175 Shelton Road (Route 110) Monroe, CT

10TH ANNUAL DERBY GRID-IRON GOLF TOURNAMENT

Whitney Farms Golf Course 175 Shelton Rd. (Route 110) Monroe, CT 203-268-0707 Saturday, July 28, 2012

Tournament Information
Schedule for the Day: Saturday, July 28, 2012 Registration: 1:00 pm Shot Gun Start: 2:00 pm

Reservation Form
Golfer Name:___________________$_____ Golfer Name:___________________$_____ Golfer Name:___________________$_____ Golfer Name:___________________$_____ Green Sponsor:__________________$_____ Corporation Sponsor:_____________$_____ Total:_____________$_____

Dinner w/Open Bar Following at 7 pm Bar None 87 Elizabeth Street Derby, CT Prizes and Raffles

$150 FEE INCLUDES

18 Holes of Golf with Cart Dinner Raffles & Prizes Contests & Refreshments on the Course All Day Positions Limited to 36 Foursomes Longest Drive Closest to the Pin Team Awards

Or Just Join Us For Dinner @ $ 35.00 per person Dinner Tickets Must Be Purchased By July 21 (Donations Welcome)

$150 per person MUST be received By July 21, 2012 with check made out to: DERBY GRID-IRON CLUB
If you cant play...
A fully deductible contribution (in any amount) would be greatly appreciated.

I Cannot play but will make a donation in the amount of $______

ADVERTISING OPPORTUNITIES
$100 Green Sponsor $300 Booster Sponsor (2 Tees & 2 Greens) $1,000 Corporate Sponsorship
Includes: Golf Foursome, Booster Sponser and banner at entry table.

Merchandise Donations for Prizes and Raffles are Also Needed. Contacts on the Next Page