Please detail all golfers’ information below.

All golfers are required to assemble their own teams of four. If no shirt size is given,

a size large will be ordered.

Player 1 : _______________________________ Shirt Size: S M L XL

Player 2: _______________________________ Shirt Size: S M L XL

Player 3: _______________________________ Shirt Size: S M L XL

Player 4: _______________________________ Shirt Size: S M L XL

Payments

I would like to pay by check. Please make all checks payable to: NDH Foundation

I would like to pay by credit card.

Please charge my card $____________Account# _______________________________

V-Code ______ Exp______ Billing Zip _______

Signature _______________________________

Return completed form to:NDH Foundation,

6531 Springbrook Avenue Rhinebeck, NY 12572

Fax: 845.871.1732 | NDHEvents@health-quest.orgFor more information, please contact

the NDH Foundation at 845.871.1711 x2

Tournament format is a four-man team scramble. Check-in begins at 7:30am,

carts roll at 9:15am shotgun start at 9:30 am.

All players will receive:

• Complimentary Range Balls

• Breakfast 8–9:15am

• Hot Dogs On The Course

• Beverages On The Course

• Dinner & Awards At 4pm

• Player Thank-You Gift

• Awards For Top Teams

• Hole-In-One Contests On All Par 3’s

Keith Reichelt, Chair

Steven Buso

James Closs

Ken Giek

Tim Hoolihan

Brad Keil

Sharon Maurer

Philip Meltzer

Kelly Mosher

Rita Perkins

Addam Rakow

Traci Richard

Lewis Ruge

John Sabia, MD

Janet Saulpaugh

Bruce Troy

Clare Troy

Doug Wiltsie

Committee

Y E A R S1979–2019

NORTHERN DUTCHESSHOSPITAL FOUNDATIONANNUAL GOLF CLASSIC

40

Friday, May 17, 2019 9:30am

Red Hook Golf Club

FORMAT & SCHEDULE

PLAYER INFORMATION

Contact Information:

Name:

Business:

Address:

City:

State/ Zip:

Email:

$5,000 Ace Sponsor

$2,500 Eagle Sponsor

$1,500 Birdie Sponsor

$500 Mulligan Sponsor

$300 Bogey Sponsor

$300 Putting Contest Sponsor

$300 Beverage Station Sponsor

$50/$125 Green(s) Sponsor

$1000 VIP Foursome

$800 Foursome

$200 Golfer

$50 VIP Package

$ ___________ Total

SPONSORSHIP OPPORTUNITIES

Get your foursome together and join us for the 40th Annual NDH Foundation Golf Classic on Friday, May 17 at the beautiful Red Hook Golf Course! Key to the success of this event is the sponsorship support received from our partners and friends in the business and medical communities. We hope you will choose to support Northern Dutchess Hospital with one of the sponsorship opportunities listed below. See you on the links!

For more information, please contact the NDH Foundation at 845.871.1711 x2

Ace Sponsor – $5,000Three Golf Foursomes

Signs On Ten Holes & Golf Carts Listing On Clubhouse Major Sponsors Sign

*VIP Package

Eagle Sponsor – $2,500Two Golf Foursomes Signs On Eight Holes

Listing On Clubhouse Major Sponsors Sign *VIP Package

Birdie Sponsor – $1,500One Golf Foursome Signs On Six Holes

Listing On Clubhouse Major Sponsors Sign *VIP Package

Mulligan Sponsor – $500Two Golfers

Signs On Three Holes Listing On Clubhouse Major Sponsor Sign

Bogey Sponsor - $300One Golfer

Signs On Two Holes Listing On Clubhouse Major Sponsor Sign

Special Underwriting Support: Putting Contest Sponsor $300 + Free Entry

Beverage Station Sponsor $300

Green Sponsors:1 Sign - $50 | 3 Signs - $125

Raffle Sponsor:Donate A Prize For Our Raffle

And Get A Listing On Sponsor Sign In The Clubhouse Following The Scramble

*VIP Package: Each player receives a special gift, two drink coupons, two mulligans

and $30 in raffle tickets.

Y E A R S1979–2019

NORTHERN DUTCHESSHOSPITAL FOUNDATIONANNUAL GOLF CLASSIC

40

REGISTRATION FORM