Pay By Credit Card or Pay Pal For Golfers 
(Also scroll down on this page to see description of Eagle & Birdie Packages):

Golfer Options:                                                                            Sponsorship Options: $500-$10,000:
        Individual Golfer $325.00 USD                                                       
Hole Sponsorship $500


        Foursome Group $1,200.00 USD                                                     Bronze Sponsorship $1000


        Birdie Package $1,750.00 USD                                                        Silver Sponsorship $2500

        Eagle Package $3,000.00 USD                                                        Gold Sponsorship $5000  

                                                                                                                  Platinum Sponsorship $10000


Birdie Pkg.
 - $1,750.00 - (Includes a foursome, a Corporate Bronze Sponsorship and a Hole Sponsorship at this event) 

Eagle Pkg. - $3,000.00 - (Includes a foursome, a Corporate Silver Sponsorship and a Hole Sponsorship at this event)

Donation Options:   $25 - $500 


Please Note the Following Instructions are to Email or Mail In your Registration Form:

1. Complete all sections of registration form and save as a MS Word document, then mail, email or fax
2. Select payment option (cardholder’s signature is required if paying by credit card)

To email this form:

Complete all applicable steps as mentioned above, then: 
1. Open the saved file
2. Click FILE, select SEND or SEND To, and then select MAIL RECIPIENT or PAGE BY EMAIL. Your default email program will appear, simply Email to:

Jeff Richter or Joe Grignoli
(631) 396-6816 tel.                     (516) 426-8885 tel.
(631) 396-6801 fax                     (631) 396-6801 fax