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AHA ASSOCIATION
20TH ANNIVERSARY GOLF CLASSIC
ON-LINE REGISTRATION AND SPONSORSHIP FORM
DATE: TUESDAY, SEPTEMBER 2, 2008
COURSE: INDIAN HILLS COUNTRY CLUB NORTHPORT, NY
INSTRUCTIONS FOR USING THIS FORM:
This form may be used for player participants, dinner only guests and/or event sponsorship.
Please complete the form and retain it for your records. Click on the submit button to
email it directly to AHA. You may also print the form and mail it to
AHA Assoc, PO Box 916 Bethpage, NY 11714
or Fax it to the AHA Office at 516-470-0362, .
Please direct any questions regarding this event to Bill Heslin (billh@ahany.org)
or Dan Rotella (danr@ahany.org) or call the AHA Office at 516-470-0360. Thank You!
(A) PLAYER AND/OR DINNER REGISTRATION FORM
Registration Type   Quantity Fee Amount
Golf Foursome (submit 1 form for each foursome)
(Please complete parts (B), (E) and (H))		   $ $
Corporate Foursome Sponsor
(Please complete parts (B), (E) and (H))		   $ $
Individual Golf Package
(Please complete parts (C), (E) and (H))		   $ $
Cocktails and Dinner Only
(Please complete parts (D), (E) and (H))		   $ $
Subtotal for registration fees   $
(B) FOURSOME PARTICIPANTS (use a separate form for each foursome)
First Name Last Name
1)
2)
3)
4)
(C) PLEASE ASSIGN THE FOLLOWING PLAYERS TO A FOURSOME
First Name Last Name
1)
2)
3)
(D) GUESTS FOR COCKTAILS AND DINNER ONLY
First Name Last Name
1)
2)
3)
4)
(E) YOUR GROUP'S CONTACT INFORMATION
First Name:
Last Name:
Company Name:
Address:
Phone:
Email:
(F) SPONSORSHIPS (select level or enter amount and complete parts (G) and (H))
For sponsorships at the 'PUTTING GREEN' level and above,
please contact our Golf Outing Committee directly by calling Bill Heslin (516-650-0454) or Dan Rottollo (917-881-0043)
Level Select One or More Amount
Event Sponsor $5000
Dinner Sponsor $3000
Cocktail Hour Sponsor $2000
Golf Cart Sponsor $2000
Lunch Sponsor $1000
Driving Range Sponsor $1000
Putting Green Sponsor $500
Tee Sponsor $150
Gallery Sponsor (any donation is appreciated) $
(G) SPONSOR CONTACT INFORMATION
First Name:
Last Name:
Company Name:
Address:
Phone:
Email:
(H) PLEASE INDICATE PAYMENT METHOD (check one)
MASTERCARD VISA DISCOVER CHECK
(for mail-in form only) 		PLEASE SEND AN INVOICE
Name as it appears on your card:
Card #:
Expiration Date:
Grand total amount to be charged/amount of enclosed check $


AHA does not endorse or recommend any product or treatment. This site is intended for informational purposes only. Please consult with experienced professionals to determine the most effective treatment for your own child as each child and situation are unique.
 
     
     
   
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