2017 Josh Lejeune Memorial Sports and Recreation Fundraiser
(Saturday 9/23/2017 at Blackledge Country Club, registration starts at 11:00 AM, Shotgun start at 12:00 PM)
REGISTRATION FORM
Golf Foursome – ($400) (Includes banquet)
NameEmailPhone
Individual Golfer – ($100): (Includes banquet. Will be assigned to a foursome):
_________________________ _________________________ ____________
Cornhole Team – ($50 - Excludes optional banquet ($25/person):
NameEmailPhone
Cornhole Individual – ($25 Excludes banquet. Will be assigned to a team):
_________________________ _________________________ ____________
Banquet ($25 Per Person)
_________________________ _________________________ ____________
_________________________ _________________________ ____________
Make Check Payable to:
“MLC – Josh Lejeune Memorial” (MLC is Marlborough Lions Club)
mail your check with your registration form to:
Tom Reiser
5 Kristi Lane
Marlborough, CT 06447
Or send Paypal payment to:
allenpollock@comcast.net – and type Josh Lejeune Fundraiser in the memo.
Josh Lejeune Memorial Sports and Recreation Fundraiser
SPONSOR REGISTRATION FORM
Sponsor Packages
Name of sponsoring person(s) and/or entity
NameEmailPhone
______________________________ _________________________ ____________
______________________________ _________________________ ____________
Please print the name as you want it to appear in the program
___________________________________________________________________
___________________________________________________________________
Home Run Level $1,000 - Includes Foursome, Tee Sign, Banquet acknowledgement, $50 in raffle tickets, and advertisement in Program (business card size)
Triple Level $500 – Includes Tee sign, Banquet acknowledgement, and advertisement in Program
Double Level $100 – Includes Tee sign and Program listing
Single Level $25 – Includes Program listing
Make Check Payable to:
“MLC – Josh Lejeune Memorial” (MLC is Marlborough Lions Club)
mail your check with your registration form to:
Tom Reiser
5 Kristi Lane
Marlborough, CT 06447
Or send Paypal payment to:
allenpollock@comcast.net – and type Josh Lejeune Fundraiser in the memo.