2015 Golf Tournament & Dinner Registration Form.indd

Hosted by
per golfer
Monday, June 8, 2015
Los Coyotes Country Club,
Buena Park
• A round of golf at Los Coyotes Country Club:
- A private, members only Country Club
• A gift bag filled with exciting items and information
• Pastries, coffee and water during registration
• FREE entry into the Tournament Player’s Package:
- Exciting Hole in One prizes
- Closest to the Pin & Longest Drive prizes, and more!
• Delicious Wahoo’s lunch
• Beverages and snacks on the course
• After the tournament: light Hors d’oeuvres on the terrace,
cash bar, live entertainment and silent auction
• Buffet dinner and Golf Awards banquet
• Discount for your guest(s) to attend the banquet
Schedule of Events:
Registration opens at 9:30 a.m.
• 9:30 a.m.
• 10:40 a.m.
• 11:00 a.m.
• 11:30 a.m.
• 4:30 p.m.
• 5:45 p.m.
• 6:00 p.m.
Los Coyotes Country Club
8888 Los Coyotes Drive
Buena Park, CA 90621
Please bill me for:
x Golfer Registration(s) at $250 each
x Early Bird Registration(s) at $220 each
(By Thursday, April 30)
x $45 Golfer’s Guest for Dinner Only
Yes, I plan to stay for the banquet after golf.
x $55 Dinner Only Guest (no golf)
x $25 per Helicopter Ball Drop ticket (or)
x $100 for 5 tickets (you get 1 FREE!)
Name: Golfer #2
x $250 Tee Sponsor
x $500 Executive Tee Sponsor
Yes, I plan to stay for the banquet after golf.
x $1,000 Silver Tee Sponsor
Name: Golfer #3
x $2,500 Gold Tee Sponsor
x $3,500 Helicopter Ball Drop Sponsor
x $5,000 Platinum Tee Sponsor
Yes, I plan to stay for the banquet after golf.
x $10,000 Executive Platinum Sponsor
For all sponsorship levels - Please e-mail a hi-res logo (at least
1 MB in jpg or .tiff format) to DSAOC for use on event signage.
Deadline for submission: Thursday, May 14 - please send to
Kellie Perez at [email protected]
Name: Golfer #4
Golf Tournament
Putting Contest - (closes at 10:30 a.m.)
Ceremonial First Drives by DSAOC self-advocates
Shotgun start
Wahoo’s Lunch service begins (ends at 1:30 p.m.)
Silent auction, Hors d’oeuvres and cash bar on terrace
EXCITING Helicopter Ball drop!
Banquet, Golf Awards & live auction
Name: Golfer #1
A portion of your registration fee is tax-deductible. A portion of auction purchases
(amount over the market value) may also be tax-deductible. Please consult a tax
Registration Information:
Register Today!
$220 Early Bird Registration If you register by April 30, 2015
Registration Fee Includes:
Yes, I plan to stay for the banquet after golf.
Want to register/purchase tickets online?
Visit: http://www.events.org/cpage.aspx?e=84072
Total $
A check to DSAOC is enclosed
Please charge my:
Name on Card (please print)
Credit Card #
DSAOC accepts Visa, Mastercard and AMEX. Paying by credit card?
Call in your registration to (714) 540-5794 or Fax to (714) 540-5872.
Checks are payable to DSAOC.
Signature of Card Holder
Down Syndrome Association of Orange County
151 Kalmus Drive, Suite M-5, Costa Mesa, CA 92626
Thank you in advance for your support!
Company Name:
Billing Zip code:
Contact e-mail or phone:
CVV code: