Golfers (Please print) Name:____________________________________________________________________________ Company: ______________________________________________________________ Address:________________________________________________________________ City: ______________________ State: ______ Zip:________________ Phone: ______________________________________________ e-mail: ________________________________________________________________ Pinebrook Family Answers serves the Greater Lehigh Valley with high quality children and youth services, community/school-based programs, family support services, mental/behavioral health care, senior care and re-entry programs. Last year we served over 4,000 children, teens, adults and seniors. Our Mission at Pinebrook Family Answers is to promote the well-being of children, youth and adults by nurturing healthy family life, promoting selfsufficiency, and providing high quality and affordable prevention, therapeutic, homecare and advocacy services that are accessible for the residents of the greater Lehigh Valley. Name:____________________________________________________________________________ 16th annual GOLF CLASSIC Monday, May 18, 2015 Silver Creek Country Club Hellertown, PA Company: ______________________________________________________________ Address:________________________________________________________________ City: ______________________ State: ______ Zip:________________ Phone: ______________________________________________ e-mail: ________________________________________________________________ Name:____________________________________________________________________________ Company: ______________________________________________________________ Tournament Committee Address:________________________________________________________________ City: ______________________ State: ______ Zip:________________ Todd Donnelly Viamedia Michael Murphy PbFA Board Member Alan Augello SKF USA Inc. Curt Shafer Curtis Total Service Ruth VanWhy Tom X Pub Robert Price The Provident Bank Phone: ______________________________________________ e-mail: ________________________________________________________________ Name:____________________________________________________________________________ Company: ______________________________________________________________ Address:________________________________________________________________ City: ______________________ State: ______ Zip:________________ Phone: ______________________________________________ Fred Fenselau Eric Staub Working Dog Press e-mail: ________________________________________________________________ Proper golf attire please Pinebrook Family Answers, Inc. is not affiliated with National Penn Tournament Format and Schedule Activities Scramble Format/Shotgun Start Team Prizes Longest Drive Straightest Drive Closest to the Pin Raffles Putting Contest (rain or shine) 11:45 am – Registration Light lunch 12:30 pm – Shotgun Start Refreshments on course May 18, 2015 ❏ Players: $175 Golf cart & green fees, beverages & refreshments on course, awards dinner ❏ Hole Sponsor: $125 5:30 pm – Awards Dinner All Proceeds Benefit... Golf Classic Your Company name on a designated hole or tee $ 5,0 0 0 Pr i z e ❏ Corporate Sponsor: $750 Your Company name on a designated hole or tee and (4) player positions ❏ Presenting Sponsor SOLD – Live Auction Additional Sponsorships Available: 402 N. Fulton Street Allentown, PA 18102 610-432-3919 Beverage Cart Sponsors Golf Cart Sponsor Prize Sponsor For more information about sponsorships, please contact: Kathy Trimble at (610) 435-9651 or ktrimble@pbflav.org 16 South Broadway, #2 Wind Gap, PA 18091 610-863-8151 A contribution from our non-golfing friends in the amount of $ ________________ For more information please contact: Kathy Trimble at 610-774-1447 or ktrimble@pbfalv.org tournament is cancelled by the course, your entry fee will be considered a donation to Family Answers. The official registration and financial information of Pinebrook Family Answers may be obtained from the Pennsylvania Department of State by calling toll free within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement. Lunch Sponsor Dinner Sponsor 1101 Northampton Street, #201 Easton, PA 18042 610-559-8151 Note: No rain date. In the unfortunate event the Registration Table RSVP by May 5, 2015 Make checks payable to: J&J Limousine Pinebrook Family Answers Enclosed please find my check in the amount of $ ________________ Attn: Kathy Trimble 402 N. Fulton St. Allentown, PA 18102
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