New York State Deputies 2020 Celebrity Golf Classic

Registration/Donation Form

Name:	Company:

Address:	City:

State:	Zip:	Phone:

Email:

Golfers:

1.	2.

3.	4.

SPONSORSHIP PACKAGES:

DEPUTY ($575) includes foursome and tee/green sign

SHERIFF ($675) includes foursome, tee/green sign and celebrity golfer

TEE/GREEN SPONSOR ($100)	CART SPONSOR ($200)

GOLF REGISTRATION ONLY:

FOURSOME ($500)	SINGLE GOLFER ($125)

EARLY BIRD (before 4/30/19) FOURSOME ($440)	SINGLE GOLFER ($110)

Enclosed is payment in full for $

I would like to donate a prize or auction item:

Please make checks payable to NYSDA

Payments may be mailed to:	NYSDA

C/O Norman Itjen

PO Box 412

Elba NY 14058

Any questions feel free to contact:

Norman Itjen @ (585) 409-4540 email Litjen@rochester.rr.com

Jeff Newman @ (716) 807-6270 email Jeff.Newman@NiagaraCounty.com