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Saturday / Sunday, August 19, 20th, 2017

Andy Rickert Memorial Golf Tournament


Hole Sponsorship Form

Saturday & Sunday, August


19th &20th, 2017

Proceeds from this event This years event will be held Saturday and Sunday, August 19th and 20th,
will fund annual Athens High
School Golf and Baseball at Tioga Golf Club, PO Box 220, 151 Roki Boulevard, Nichols NY, 13812
scholarships in Andys name.
Please return this form to:
The First 64 Paid Two Renee Rickert
Person Teams will be a part
of an enjoyable weekend 110 North Street
remembering Andy!
Athens PA, 18810
Non-golfers are welcome to
join in the dinner at Tioga Phone: (607) 857-1853
Downs for $25!
Hole Sponsorship $100 Minimum
Cost: $300 per team
Make your tax-deductible checks payable to: Andy Rickert Memorial
Include Tax ID number (EIN: 82-0683164) in the memo portion of the check
Teams will be comprised of
and your canceled check is all you will need at tax time.
3 Divisions of 2 person
teams, and flights will be
A professionally made sign with your business name, address and/or phone
determined upon the
number will be placed at a tee box within the course and a list of sponsors will
distribution of paid
be distributed to the golfers.
participants in the field.
- Male / Male
To help us properly plan for this event, please submit this form by July 31,
- Female / Female
2017 by mailing it with payment to Renee Rickert at the above address
- Mixed
Business Name:
Price Includes:
-Greens Fee/Cart/Skins Address:
-Dinner Saturday Night at
Tioga Downs City, State, Zip:
-Lunch Web Site:
-Cash Prizes paid per flight
Phone # : Email Address:
We also need prize donations so
if you or your employer can Check # : Amount: $
help, please let us know.

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