RiteCare Charit y Golf Tournament
®
Sponsored by the
Topeka Valley Scottish Rite of
Freemasonry
Located at 2300 SW 30th St, Topeka, Kansas
For the benefit of the
Schiefelbusch Children’s Speech
Clinic at Topeka Scottish Rite
& RiteCare® Clinics of Kansas
Friday, August 7th, 2015
Great Life Shawnee Country Club
913 SE 29th Street, Topeka, KS
Two-Person Scramble @ $75 per person, which includes
Shotgun Start for 18 holes of golf, with cart, at 12:30 p.m.
Social hour, Live & Silent Auction
at Great Life Shawnee Country Club at 5:30 p.m.
Dinner at Great Life Shawnee Country Club at 6:15 p.m.
(No fee required for live or silent auctions)
5:30 p.m.
To Hear-To Speak-To Understand
This is what RiteCare® is all about
“Come out and Support Hearing-Speech-Language
at the Schiefelbusch RiteCare® Clinic”
RiteCare® Golf Tournament
Donations
Help Children to Speak
RiteCare® of Topeka, Inc.
Full Registration - $75
Hole Sponsorship - $250
---------------------------------------------------------
--------------------------------------------------------Contact Name: ____________________________
Company Name: ___________________________
Address: _________________________________
________________________________________
Phone: ___________________________________
Email: ___________________________________
Logo on Hole Sign: ________________________
---------------------------------------------------------------------------------
Includes 18 Holes of Golf, Golf Cart,
Tee Gift, Dinner, Live & Silent Auction
Name: ________________________________
Address: ______________________________
_______________________________________
Phone: ________________________________
Email: ________________________________
Attending Dinner (circle): Yes
No
Full Registration - $75
---------------------------------------------------------
Includes 18 Holes of Golf, Golf Cart,
Tee Gift, Dinner, Live & Silent Auction
Name: ________________________________
Address: ______________________________
_______________________________________
Phone: ________________________________
Email: ________________________________
Attending Dinner (circle): Yes
No
Dinner Registration - $20
Includes Dinner, Live & Silent Auction Only
Name(s): _______________________________
Address: ______________________________
_______________________________________
Phone: ________________________________
Email: ________________________________
Dinner Registration - $20
Includes Dinner, Live & Silent Auction Only
Name(s): _______________________________
Address: ______________________________
_______________________________________
Phone: ________________________________
Email: ________________________________
General Donation
--------------------------------------------------------Contact Name: ___________________________
Company Name: __________________________
Address: ________________________________
______________________________________
Phone: _________________________________
Email: __________________________________
Amount or Item Donated: ___________________
______________________________________
______________________________________
Registration Details
--------------------------------------------------------Please make all checks payable to
“RiteCare of Topeka, Inc.”
and send Registration Form, Sponsorship Form,
Donation Form, and check, to:
Topeka Scottish Rite
2300 SW 30th Street
Topeka, KS 66611-1711
Please contact us with questions at:
Phone: (785) 266-3191
Smart Fax: (785) 266-3191
Email: [email protected]