Howard H. Belkin Memorial Golf Tournament Monday, October 5, 2015 Shuttle Meadow Country Club, Kensington, CT Thanks to our Title Sponsor | A FARMINGTON BANK.. ‘Thanks to our Hole in One Sponsor Thanks to our $1 Million Shoot Out Sponsor Achieve Financial YP Supporting leading edge breast cancer research in Connecticut!CT Breast Health Initiative Howard H. Belkin Memorial Golf Tournament A Golf Tournament with a Mission. In IL years, the Howard H. Belkin memorial Golf Tournament has raised approximately $320,000 for breast cancer education and research in Connecticut. Every year, the CT Breast Initiative remembers its founding chairman Howard H. Belkin for his spirit and unwavering desire to find a cure for breast cancer, Howard was a local attomey, State of CT Worker’s Compensation Commissioner, political activist, husband, father, grandfather, joke teller extraordinaire and avid golfer. It was his dream to use his love of golf to raise monies for the statewide work of the CT Breast Initiative, Inc. by creating an annual tournament at the Shuttle Meadow Country Club, on his favorite golf course. The Shuttle Meadow Golf Course, designed by renowned architect and twice British Open Champion, Willie Park Jr., was recognized by Golfweek Magazine as one of America’s 2014 best classic courses. Achieving national recognition among America’s elite golf courses is a tribute to the unique qualities of this historic course We appreciate all who participate and use their love of golf to raise monies for the statewide work of the CT Breast Initiative The Day Monday, October 5, 2015 Shuttle Meadow Country Club, Kensington, CT 10:30 am_ Registration, Silent Auction, Raffle 11:00am Lunch 12:00 pm Shotgun 5:00 pm Cocktail Reception and Dinner on Patio, Awards and Prizes FORMAT: — Scramble (Team prizes awarded) CONTESTS: — $1 Million Shoot Out Hole in One Closest to the Pin Longest Drive - Men and Women Pink Boat (Chipping Contest) Hot Ball Contest (One Per Team)Sponsorship Levels Al sponsors will be recognized on an event day banner. COTITLE SPONSORS $5,000 C1 GOLD SPONSORS $2,000 + Day of golf, lunch and dinner for 4 golfers + Day of golf, lunch and dinner for 3 golfers + Sponsorship of 2 Survivor golfers + Special recognition at Dinner Reception + Logo prominently displayed on all + One tee sponsorship printed materials, website and social media + Sponsorship of the Pink Boat Chipping Contest + Two tee signs + Two additional dinner guests + Opportunity to speak at Dinner Reception + Special recognition at reception BREAST CANCER $300 + Two additional dinner guests SURVIVOR GOLFER SPONSOR + Sponsor a breast cancer Survivor fora day of golf PLATINUM SPONSORS $3,000 + One tee sponsorship + Day of golf, lunch and dinner for 4 golfers + Name prominently displayed on website TEE SPONSORS $200 and on all printed materials + Recognition on one tee (ean be in memory of + Special recognition at Dinner Reception honor of someone or company name) Two tee signs + Choice (frst comefirst served) to be the Golf Cart Sponsor and/or Cocktail and Dinner Sponsor Receive $100 in raffle tickets for each foursome of new player Players must not have played in the last two years ofthe tournament. Donation (INDIVIDUAL GOLFER $250 RECEPTION & DINNER ONLY 875 Please choose your level of participation. Return this form by September 18th with your cheek to: CT Breast Health Initiative, Ine. 185 Main Street New Britain, CT 06051 www.etbhiorg Golfer’s name, address, phone and email (please print) #1 Name Handicap Address Phone #2 Name Handicap Address Phone #3 Name Handicap Address Phone #4 Name Handicap Address Phone TOTALS, 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, How should your tee sign read?| 100% RAISED IN CT. == 100% STAYS IN CT (feral Ie The Connecticut Breast Health Initiative has one goal. One desire. To help find a cure for breast cancer in our lifetime. Connecticut is ranked 2nd in the nation in breast cancer incidence rate. For a small state, that is a huge challenge That is why we have 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 are doing it where it matters most... right here at home. Over $3.1 Million Dollars Awarded in Grants in 11 Years to to: Agency on Aging of South Central Connecticut Norma Piriem Breast Center, Bridgeport Hospital Community Health Services, Ine Northeast Distriet Department of Health East Hartford Department of Health & ‘Norwalk Department of Health Social Services, Hill Health Corp, Hartford Hospital Saint Mary's Hospital St Vineent’s Medical Center Foundation Hispanic Center of Greater Danbury cco Hispanic Health Council Gous nett oun Hospital of Central Connecticut ee ie en eee YWCA of New Britain Ledge Light Health Distriet MidState Medical Center ‘Yale New Haven Hospital Additionally, CT BHI partnered with UCONN Health Center to fund a professorship for clinical’ translational research dedicated to breast eancer prevention, treatment and research, CT BHI funded this program for three years for a total of $300,000. TEXT “Pink” to 91999 to donate FOR MORE T IRMATION aes it