I enclose a check payable to Susan G. Komen Breast Cancer Foundation for:
_____ MERCHANDISE
or PRIZE DONATION (if a business, enclose a business card).
_____ SPONSOR
_____ HOLE #18 REMEMBRANCE - $5.00
Honor a Survivor
or remember a loved one. Make a $5 donation per memorial and a ribbon will be
placed on Hole #1. A free round of golf in next year's event will be awarded
at the luncheon to one donor through a drawing.
In honor of __________________________________________ :or,
In memory of ________________________________________.
_____ I cannot play but enclose a donation of $20 payable to “Rally for
a Cure”.
The person to receive the Golf for Women magazine is:
Name: ________________________________________________
Street Address: ________________________________________
City, State, Zip _________________________________________
This is: (check one) ___ new subscription ___renewal ___gift subscription
YOUR NAME: __________________________________________________
Business Name: ________________________________________________
Street Address: ________________________________________________
City, State, Zip: ________________________________________________
Telephone: ____________________________________________________
Send to: Belinda
Cush, Rally #3195 Coordinator
c/o Fairways Golf & Country Club, 750 Country Club Lane, Warrington, PA
18976
The Komen Foundation
is a not-for-profit organization under IRS Code 501(c)(3). Their Tax ID Number
is 75-1835298. This number is intended for monetary donations for which no goods
or services are rendered