Monday, September 8, 2014Shuttle Meadow Country Club, Kensington, CT

11th Annu a l

2014Howard H. BelkinMemorialGolf Tournament

Thanks to our Title Sponsor

Thanks to our Golf Cart Sponsor

Thanks to our Hole in One Sponsor

Thanks to our $1 Million Shoot Out Sponsor

Supporting leading edge breast cancer research in Connecticut

CT B

REAST

HEALTH INITIATIVE

HOPE

The Day WHEN: Monday, September 8, 2014 Raindate: Monday, October 6, 2014

WHERE: Shuttle Meadow Country Club, Kensington, CT

TIME: 10:30 am Registration, Silent Auction, Raffle 11:00 am Lunch 12:00 pm Shotgun 5:00 pm Cocktail Reception and Dinner on Patio, Awards and Prizes

FORMAT: Scramble (Team prizes awarded)

CONTESTS: $1 Million Shoot Out Hole in One Closest to the Line Longest Drive - Men and Women Pink Boat (Chipping Contest) Hot Ball Contest

CT Breast Health InitiativeHoward H. Belkin Memorial

Golf TournamentA Golf Tournament with a Mission.In 11 years, the Howard H. Belkin Memorial Golf Tournament has raised approximately $320,000 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.

Donation

#1 Name _______________________________________________________ Handicap________

Address _____________________________________________________________________

Phone _____________________ Email ____________________________________________

#2 Name _______________________________________________________ Handicap________

Address _____________________________________________________________________

Phone _____________________ Email ____________________________________________

#3 Name _______________________________________________________ Handicap _______

Address _____________________________________________________________________

Phone _____________________ Email ____________________________________________

#4 Name _______________________________________________________ Handicap _______

Address _____________________________________________________________________

Phone _____________________ Email ____________________________________________

TOTAL $ _______________

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.

How should your tee sign read? _____________________________________________________

Golfer’s name, address, phone and email (please print)

Sponsorship LevelsPLATINUM SPONSOR $2,500- Day of golf, lunch and dinner for four- Name prominently displayed on event display and website - Special recognition at reception- Tee sponsorship (2)

COCKTAIL RECEPTION & DINNER SPONSOR $2,500- Day of golf, lunch and dinner for four- Name prominently displayed on event display and website - Special recognition at reception- Tee sponsorship (2)

GOLD SPONSOR $1,750- Day of golf, lunch and dinner for four- Sponsorship of one Breast Cancer Survivor golfer for the day- Special recognition at reception

LUNCH SPONSOR $1,500- Day of golf, lunch and dinner for three- Sponsorship of one Breast Cancer Survivor golfer for the day

TEE SPONSOR $200- Recognition on one tee

Please choose your level of participation.Return this form by August 30th with your check to:

CT Breast Health Initiative, Inc.185 Main Street New Britain, CT 06051

www.ctbhi.org

INDIVIDUAL GOLFER $250 RECEPTION & DINNER ONLY $75

Receive $100 in raffle tickets for each foursome of new players.Players must not have played in the last two years of the tournament.

All sponsors will be recognized on an event day banner.

2014Howard H. BelkinMemorialGolf 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 2nd in the nation in breast cancer incidence rate. For a small state, that’s a huge challenge.

That’s why we’ve 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 we’re doing it where it matters most... right here at home.

Over $2.6 Million Dollars Awarded in Grantsin 11 Years to 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

Norma Pfriem Breast Center

Northeast District Department of Health

Norwalk Department of Health

Saint Mary’s Hospital

St Vincent’s 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/translational 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 INFORMATIONwww.ctbhi.org · 860-827-7103