2011

Howard H. Belkin Memorial Golf Tournament

Monday, September 12, 2011

Shuttle Meadow Country Club, Kensington, CT To benefit statewide breast cancer education and research
Thanks to our Title Sponsor

Thanks to our Cart Sponsor

Golf Tournament

Howard H. Belkin Memorial

A Golf Tournament with a Mission. In 8 years, the Howard H. Belkin Memorial Golf Tournament has raised approximately $255,000 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 find 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.

Sponsorship Levels
PLATINUM SPONSOR
Day of golf, lunch and dinner for four Name prominently displayed on event display and website 2 additional invitations to the reception and dinner Special recognition at reception Tee sponsorship (2)

$2,500

SPONSOR A SURVIVOR

Provide the day of golf, lunch, and dinner for a breast cancer survivor Recognition on one tee

$200

TEE SPONSOR

$200 $60

RECEPTION & DINNER ONLY $1,750

Name recognition at event

GOLD SPONSOR

Day of golf, lunch, and dinner for four Sponsorship of one Breast Cancer Survivor golfer for the day Special recognition at reception Day of golf, lunch, and dinner for one

RAFFLE / AUCTION PRIZE DONOR

NOTE: All sponsors will be recognized on an event day banner

INDIVIDUAL GOLFER TWOSOME FOURSOME

$250 $480 $900

Please choose your level of participation. Return this form by August 31st with your check to: CT Breast Health Initiative, Inc. 185 Main Street P.O. Box 566 New Britain, CT 06050 www.ctbhi.org If you wish to pay by credit card, please register on-line at ctbhi.org or contact the CT Breast Health Initiative office for registration processing at 860-827-7103

The Day
WHERE: TIME: WHEN: Monday, September 12, 2011 Shuttle Meadow Country Club, Kensington, CT 10:30 am 11:00 am 12:00 pm 5:00 pm Shamble Registration Lunch Shotgun start, silent auction, raffle Cocktail reception & dinner on patio Awards (Team prizes awarded)

CONTESTS:

FORMAT:

Hole in one Closest to the line Longest drive- men and women Pink Boat (Chipping Contest)

Registration Form
Platinum Sponsor Gold Sponsor Individual Golfer Sponsor a Survivor Tee Sponsor Twosome Reception Only Foursome

Golfers name, address, phone and email (please print)

#1 Name Address Handicap Email Handicap Email Handicap Email Handicap Email

Phone #2 Name

Phone #3 Name

Address

Phone #4 Name

Address

Phone

Address How should your tee sign read?

Item(s) donated

TOTAL $

2011 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 find a cure for breast cancer in our lifetime. Connecticut is ranked 11th in the nation in breast cancer mortality. 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.

$1.75 Million in Grants awarded over 8 years 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 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/ transitional 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 CALL 860-827-7103