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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
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08/21/2013

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10th An nivers a r y

2013

Howard H. Belkin Memorial Golf Tournament

Monday, September 9, 2013
Shuttle Meadow Country Club, Kensington, CT
Thanks to our Title Sponsor

Thanks to our Golf Cart Sponsor

Thanks to our Hole in One Sponsor Alderman Cadillac Thanks to our $1 Million Shoot Out Sponsor Achieve Financial Credit Union

Supporting leading edge breast cancer research in Connecticut

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 find 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.

Sponsorship Levels
$2,500

PLATINUM SPONSOR
- Day of golf, lunch and dinner for four - Name prominently displayed on event display and website - Special recognition at reception - Tee sponsorship (2)

LUNCH SPONSOR

$1,500

- Day of golf, lunch and dinner for three - Sponsorship of one Breast Cancer Survivor golfer for the day

TEE SPONSOR
- Recognition on one tee

$200 $75 $250

COCKTAIL RECEPTION & DINNER SPONSOR
- Day of golf, lunch and dinner for four - Name prominently displayed on event display and website - Special recognition at reception - Tee sponsorship (2)

$2,500

RECEPTION & DINNER ONLY INDIVIDUAL GOLFER
- Day of golf, lunch and dinner for one

$1 MILLION HOLE IN ONE SPONSOR $1,750 CADILLAC HOLE IN ONE SPONSOR
NOTE: All sponsors will be recognized on an event day banner

GOLD SPONSOR

- Day of golf, lunch and dinner for four - Sponsorship of one Breast Cancer Survivor golfer for the day - Special recognition at reception

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 office for registration processing at 860-827-7103.

The Day
WHEN: Monday, September 9, 2013 Raindate: Monday, October 7, 2013 WHERE: Shuttle Meadow Country Club, Kensington, CT TIME: 10:30 am 11:00 am 12:00 pm 5:00 pm Registration, Silent Auction, Raffle Lunch Shotgun Cocktail Reception and Dinner on Patio, Awards and Prizes

FORMAT: Shamble (Team prizes awarded) CONTESTS: $1 Million Shoot Out Hole in One Closest to the Line Longest Drive - Men and Women Pink Boat (Chipping Contest) Hot Ball Contest 10th Anniversary Contest

Registration Form
 Platinum Sponsor  Gold Sponsor  Tee Sponsor  Cocktail Reception & Dinner Sponsor  Lunch Sponsor  Reception Only

Golfer’s name, address, phone and email (please print)
#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________________________________________________________________

2013 Howard H. Belkin Memorial Golf Tournament

100% RAISED IN CT... 100% STAYS IN CT

The Connecticut Breast Health Initiative has one goal. One desire. To help find a cure for breast cancer in our lifetime. Connecticut is ranked 11th in the nation in breast cancer mortality. For a small state, that’s a huge challenge. That’s why we’ve focused all of our considerable energy and resources on education and research... funding forward-thinking programs that have yet to qualify for federal grants. And we’re doing it where it matters most... right here at home.

Over $2 Million Dollars Awarded in Grants in 10 Years to to:
Agency on Aging of South Central Connecticut Community Health Services, Inc. East Hartford Department of Health & Social Services, Hill Health Corp. Hartford Hospital Hispanic Center of Greater Danbury Hispanic Health Council Hospital of Central Connecticut Hospital of St. Raphael Ledge Light Health District MidState Medical Center Additionally, CT BHI partnered with UCONN Health Center to fund a professorship for clinical/transitional research dedicated to breast cancer prevention, treatment and research. CT BHI funded this program for three years for a total of $300,000. Northeast District Department of Health Norwalk Department of Health Saint Mary’s Hospital St Vincent’s Medical Center Foundation UCONN Health Center Uncas Health District VNA of Central Connecticut YWCA of New Britain Yale New Haven Hospital

FOR MORE INFORMATION CALL 860-827-7103

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