Monday, September 8, 2014

Shuttle Meadow Country Club, Kensington, CT

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2014
Howard H. Belkin
Memorial
Golf Tournament
Thanks to our Title Sponsor
Thanks to our Golf Cart Sponsor
Thanks to our Hole in One Sponsor
Thanks to our $1 Million Shoot Out Sponsor
Supporting leading edge breast cancer research in Connecticut
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The Day
WHEN: Monday, September 8, 2014
Raindate: Monday, October 6, 2014
WHERE: Shuttle Meadow Country Club, Kensington, CT
TIME: 10:30 am Registration, Silent Auction, Raffe
11:00 am Lunch
12:00 pm Shotgun
5:00 pm Cocktail Reception and Dinner on Patio,
Awards and Prizes
FORMAT: Scramble (Team prizes awarded)
CONTESTS: $1 Million Shoot Out
Hole in One
Closest to the Line
Longest Drive - Men and Women
Pink Boat (Chipping Contest)
Hot Ball Contest
CT Breast Health Initiative
Howard H. Belkin Memorial
Golf Tournament
A Golf Tournament with a Mission.
In 11 years, the Howard H. Belkin Memorial Golf
Tournament has raised approximately $320,000 for
breast cancer education and research in Connecticut.
Every year, the CT Breast Health Initiative remembers its founding Chairman
Howard H. Belkin for his spirit and unwavering desire to fnd a cure for Breast
Cancer.
We appreciate all who participate and use their love of golf to raise monies for
the statewide work of the CT Breast Health Initiative.
Donation
#1 Name _______________________________________________________ Handicap________
Address _____________________________________________________________________
Phone _____________________ Email ____________________________________________
#2 Name _______________________________________________________ Handicap________
Address _____________________________________________________________________
Phone _____________________ Email ____________________________________________
#3 Name _______________________________________________________ Handicap _______
Address _____________________________________________________________________
Phone _____________________ Email ____________________________________________
#4 Name _______________________________________________________ Handicap _______
Address _____________________________________________________________________
Phone _____________________ Email ____________________________________________
TOTAL $ _______________

If you wish to pay by credit card, please register on-line at ctbhi.org or contact the
CT Breast Health Initiative offce for registration processing at 860-827-7103.
How should your tee sign read? _____________________________________________________
Golfers name, address, phone and email (please print)
Sponsorship Levels
PLATINUM SPONSOR $2,500
- Day of golf, lunch and dinner for four
- Name prominently displayed on event
display and website
- Special recognition at reception
- Tee sponsorship (2)
COCKTAIL RECEPTION &
DINNER SPONSOR $2,500
- Day of golf, lunch and dinner for four
- Name prominently displayed on event
display and website
- Special recognition at reception
- Tee sponsorship (2)
GOLD SPONSOR $1,750
- Day of golf, lunch and dinner for four
- Sponsorship of one Breast Cancer Survivor
golfer for the day
- Special recognition at reception
LUNCH SPONSOR $1,500
- Day of golf, lunch and dinner for three
- Sponsorship of one Breast Cancer Survivor
golfer for the day
TEE SPONSOR $200
- Recognition on one tee
Please choose your level of participation.
Return this form by August 30th with your check to:
CT Breast Health Initiative, Inc.
185 Main Street New Britain, CT 06051
www.ctbhi.org
INDIVIDUAL GOLFER $250 RECEPTION & DINNER ONLY $75
Receive $100 in raffe tickets for each foursome of new players.
Players must not have played in the last two years of the tournament.
All sponsors will be recognized on an event day banner.
2014
Howard H. Belkin
Memorial
Golf Tournament
100% RAISED IN CT...
100% STAYS IN CT
The Connecticut Breast Health Initiative has one goal. One desire. To help fnd a cure
for breast cancer in our lifetime.
Connecticut is ranked 2nd in the nation in breast cancer incidence rate. For a small
state, thats a huge challenge.
Thats why weve focused all of our considerable energy and resources on education
and research... funding forward-thinking programs that have yet to qualify for federal
grants.
And were doing it where it matters most... right here at home.
Over $2.6 Million Dollars Awarded in Grants
in 11 Years to to:
Agency on Aging of South Central Connecticut
Community Health Services, Inc.
East Hartford Department of Health &
Social Services, Hill Health Corp.
Hartford Hospital
Hispanic Center of Greater Danbury
Hispanic Health Council
Hospital of Central Connecticut
Hospital of St. Raphael
Ledge Light Health District
MidState Medical Center
Norma Pfriem Breast Center
Northeast District Department of Health
Norwalk Department of Health
Saint Marys Hospital
St Vincents Medical Center Foundation
UCONN Health Center
Uncas Health District
VNA of Central Connecticut
YWCA of New Britain
Yale New Haven Hospital
Additionally, CT BHI partnered with UCONN Health Center to fund a professorship for clinical/
translational research dedicated to breast cancer prevention, treatment and research. CT BHI funded this
program for three years for a total of $300,000.
FOR MORE INFORMATION
www.ctbhi.org 860-827-7103