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4th ANNUAL BUZZY LEVIN
GOLF TOURNAMENT
SUNDAY, SEPT 19, 2021
BLACKLEDGE COUNTRY CLUB
180 WEST STREET, HEBRON, CT 06248
FOUR PERSON SCRAMBLE, RAIN OR SHINE
12 PM REGISTRATION / 1 PM TEE OFF
DINNER & AWARDS BANQUET TO FOLLOW
$125 PER GOLFER / $450 PER FOURSOME
INCLUDES: GIFT, LUNCH, 18 HOLES, CART, PRIZES & DINNER
$30 PER PERSON FOR DINNER ONLY
$100 FOR TEE SIGN SPONSORSHIP
(FILL OUT FORM ON BACK PAGE)
GOLF TOURNAMENT ENTRY FORM
(PLEASE FILL OUT ALL INFORMATION FOR ALL PARTICIPANTS)
FULL NAME: ___________________________________________ HANDICAP: _________
ADDRESS: _________________________________________________________________
PHONE: ______________________________ EMAIL: ______________________________
FULL NAME: ___________________________________________ HANDICAP: _________
ADDRESS: _________________________________________________________________
PHONE: ______________________________ EMAIL: ______________________________
FULL NAME: ___________________________________________ HANDICAP: _________
ADDRESS: _________________________________________________________________
PHONE: ______________________________ EMAIL: ______________________________
FULL NAME: ___________________________________________ HANDICAP: _________
ADDRESS: _________________________________________________________________
PHONE: ______________________________ EMAIL: ______________________________
PLEASE MAKE CHECK PAYABLE TO: “GHTBL” - THEN SEND CHECK AND FORM TO:
MALLOVES JEWELERS, 404 MAIN STREET MIDDLETOWN, CT 06457
ALL PROCEEDS BENEFIT GREATER HARTFORD TWILIGHT BASEBALL LEAGUE
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4th ANNUAL BUZZY LEVIN
GOLF TOURNAMENT
SUNDAY, SEPT 19, 2021
BLACKLEDGE COUNTRY CLUB
180 WEST STREET HEBRON, CT 06248
TEE SIGN SPONSORSHIP FORM
ALL PROCEEDS BENEFIT GHTBL
NUMBER OF SIGNS: _____________ AMOUNT OF SPONSORSHIP: $______________
WORDING FOR SIGN: ______________________________________________________
_________________________________________________________________________
COMPANY/SPONSOR: ______________________________________________________
CONTACT PERSON: _________________________________________________________
MAILING ADDRESS: _________________________________________________________
PHONE: _______________________ EMAIL: ____________________________________
SPONSOR OUR 4
th ANNUAL BUZZY LEVIN GOLF
TOURNAMENT PLEASE ENCLOSE CHECK MADE PAYABLE
TO: “GHTBL” THEN SEND CHECK AND FORM TO:
MALLOVES JEWELERS 404 MAIN STREET
MIDDLETOWN, CT 06457
ALL PROCEEDS BENEFIT GREATER HARTFORD TWILIGHT BASEBALL LEAGUE