2019 Golf Outing Registration

If your business would like to donate a prize or promotional items, please contact Terri Shutterly:

Phone: (724) 255-1060

Email: kshutterly@comcast.net

Jereme Dudzinski Foundation

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Promotional Golf Package #1

Price: $550.00 + $15.95 Paypal Fee

*Includes Foursome, 2 Large Tee Signs (24"x36"), and promotional items in golfer gift bags.

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Name: *

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If you elect to mail a hard copy of the registration form, use the PDF button above to print and complete the form, then mail it and necessary fees to:

Terri Shutterly
113 Pearl Street
Belle Vernon, PA 15012

Checks are to be made payable to: Jereme Dudzinski Foundation

* NO payments will be accepted the day of the event.

* Registration fees and forms must be submitted either online or through the mail by May 13, 2019.

Name: *

Donations:

Can't attend, but would still like to show your support? You may donate a charitable amount of your choosing by choosing this option.

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Subject: *

Name: *

Day of Golf Package:

Price: $100.00 + $2.90 Paypal Fee

*Includes promotional items in golfer gift bag.

City, State, ZIP: *

Dinner Buffet Only

Price: $30 + $0.87 Paypal Fee

*If unable to golf, but you wish to attend the buffet dinner following the outing.

Advertisement Package #1

Price: $100 + $2.90 Paypal Fee

*Includes 1 Small Tee Sign (18"x24").

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Advertisement Package #2

Price: $150 + $4.35 Paypal Fee

*Includes 2 Small Tee Signs (18"x24").

Subject: *

Email: *

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Online Golf Outing Registration:

To register for our fifth annual golf outing, first complete the form under our logo and submit it. Then, choose the Golf package you would like to purchase by choosing the "Add to Cart" button next to that option and follow the necessary prompts.

Please be sure to have a PayPal account to log in / pay with.

Outing Details:

5th Annual Jereme Dudzinski Foundation Golf Outing

Date: Saturday, May 18, 2019

Location: Butler's Golf Course

Registration: 7:30 A.M.

Shotgun Start: 9:00 A.M.

18 Holes w/Cart

Four Person Scramble Format

Lunch @ the Turn

Buffet Dinner

Contests/Prizes

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2019 Golf Outing Brochure

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Subject: *

Name: *

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Address: *

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Name: *

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List the names of foursome: *

Subject: *

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Promotional Golf Package #2

Price: $475.00 + $13.78 Paypal Fee

*Includes Foursome, 2 Small Tee Signs (18"x24"), and promotional items in golfer gift bags.