Gary Burnstein Community Health Clinic


Registration Form
	Event Sponsor	$30,000.00	Please enter quanity:
	Classic Lunch Sponsor	$5,000.00	Please enter quanity:
	Classic Dinner Sponsor	$5,000.00	Please enter quanity:
	Golf Cart Sponsors	$3,500.00	Please enter quanity:
	Gold Sponsors	$2,000.00	Please enter quanity:
	Beverage Cart Sponsor	$1,500.00	Please enter quanity:
	Awards Sponsor	$1,500.00	Please enter quanity:
	Silver Sponsorship	$1,000.00	Please enter quanity:
	Foursome and Hole Sponsor lunch, dinner and golf	$1100.00	Please enter quanity:
	Foursome Only	$900	Please enter quanity:
	Bronze Sponsor	$750	Please enter quanity:
	Driving Range Sponsor	$500	Please enter quanity:
	Putting Green Sponsor	$500	Please enter quanity:
	Wave the Flag Sponsor	$500	Please enter quanity:
	Hole Sponsor	$300	Please enter quanity:
	Individual Golfer includes lunch and dinner	$225	Please enter quanity:
	Dinner Only	$55	Please enter quanity:
	I cannot attend, please accept my donation.

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