Please join us for our annual

Golf Tournament
Friday, June 27, 2014
9:00am Start
Brantingham Golf Course

4-Person Captain and Crew
$75 per person/$300 per team
Mens, Womens & Co-Ed Divisions

Cash Prizes Closest to the Pin Raffles Door Prizes
Skins Game Putting Contest

Entry fee includes: Greens fees, one cart per foursome, continental breakfast, lunch at the turn
and light refreshments after the tournament
Note: Skins Game and Putting Contest is optional and an additional fee
Registration: 8:00am
Tournament/Prize winners announced: 2:00pm

Captain: _____________________________________ HNDCP: ______________

Captain Phone: _______________________________

Crew: _______________________________________ HNDCP: ______________

Crew: _______________________________________ HNDCP: ______________

Crew: _______________________________________ HNDCP: ______________

Note: If you would like a second cart for your foursome please call Brantingham Golf Course at 348-
8861 to reserve a cart.
For more information please call the Hospital Foundation Office at 376-5110 or email jrhubart@lcgh.net.

Please send completed registration form and fee by June 20th to:
Lewis County Hospital Foundation
7785 North State Street
Lowville, New York 13367 Thank you for investing in the future of our hospital.


$20,000
CAR
HOLE IN ONE
CONTEST

$10,000
CASH
HOLE IN ONE
CONTEST
Sponsored by
Lowville New Car
Dealers Association
Sponsored by
AmeriCU
Friends of Lewis
County Hospice



Sponsorship Levels
_____ Yes! Our company would like to be a sponsor of the Lewis County Hospital Foundations Golf
Tournament. I have checked our sponsorship level.
____Gold Sponsor-$500
Entry fee for 4 players
Two carts
Your company name and logo listed on sponsor banner
Your company name and logo prominently displayed on a hole sponsor sign

_____Silver Sponsor-$250
Entry fee for 2 players
One cart
Your company name listed on sponsor banner
Your company name and logo prominently displayed on a hole sponsor sign

_____Bronze Sponsor-$100
Your company name listed on sponsor banner
Your company name and logo prominently displayed on a hole sponsor sign

Additional Sponsorship Opportunities:

_____Longest Drive (Male)-$100 _____Longest Drive (Female)-$100

_____Closest to the Pin (Male)-$100 _____Closest to the Pin (Female)-$100

_____Door Prize Sponsor-$100 _____Putting Contest Sponsor-$100

_____Friend of LCHF Sponsor _____ I would like to donate a raffle prize

Total Amount Enclosed: $ ____________________________
Company/Individual Name: ____________________________________________
Address: __________________________________________________ Phone: _____________________
Email: _____________________________________________________

Please write your company name as you would like it to appear on a hole sponsor sign:
_________________________________________________________________________
Please email your company logo (jpg.) to jrhubart@lcgh.net

Please send completed sponsorship form and fee by June 13th to:
Lewis County Hospital Foundation
7785 North State Street
Lowville, New York 13367 Thank you for investing in the future of our hospital.

Friends of Lewis
County Hospice