Registration Form

DIRECTIONS
Whitney Farms Golf Course
Stone Barn
175 Shelton Road, Rte. 110
Monroe, CT
(203) 268-0707
We Hope You Can Join Us
In Supporting This Worthwhile
Cause By Participating In
Our Golf Tournament
or Sponsoring a Tee.
We Look Forward To Seeing
You On May 16th
From I-95 (north & south): Take exit 27A (Route 25 / 8
Connector). Travel on Route 25 to the end of the expressway. Take a right onto Route 111. Travel approximately
4 miles, you will come to a blinking light at the
intersection of Route 110. Take a right onto Route 110 Whitney Farms is about 1 mile on your left hand side.
From 84: Exit 11, right off exit ramp. At the first light
take a right onto Route 34. Stay on this road for approximately 10 minutes to Route 111, take a right onto 111.
Travel for another 10 minutes to Route 110. Take a left
onto 110 and Whitney Farms is about a mile on the left
hand side.
From Merritt Parkway – North – Exit 49N
South – Exit 49
Both exits 49N and 49 empty onto the Route 25 expressway. Travel to the end of the expressway (which is Route
111). Take a right onto Route 111. Travel approximately
4 miles, you will come to a blinking traffic light at the intersection of Route 110. Take a right onto Route 110. Whitney
Farms is about 1 mile on your left hand side.
From Route 8 South: Take exit 14 (Howe Ave.). Take
right at the end of the ramp onto Shelton Road, which is
Route 110. Follow approximately six miles to Whitney
Farms, on your right.
From Route 8 North: Take exit 14 (Howe Ave.). Take left
at the end of the ramp, take a left onto Shelton Road,
which is route 110. Follow approximately six miles to
Whitney Farms, on your right.
LOCAL 371
Local 371
Brian A. Pe trone lla
Me morial Charity Golf
Tourname nt
AFL-CIO
Thomas A. Wilkinson
President
Ronald M. Petronella
Secretary - Treasurer
Brian P. Truini
Executive Vice President
Jeff Horvath
Union Representative
Tournament Chairman
(203) 226-4751
www.ufcw371.org
Tuesday
May 16, 2017
Whitney Farms Golf Course
Route 110
Monroe, Connecticut
Local 371
16th Annual
Union Ope n
Yes, we would like to be a
Tee sponsor for the
Local 371
16th Annual
Union Ope n
Tuesday, May 16, 2017
Join Local 371
For a Great Day of Golf,
While Helping Raise Money
for a Very Important Cause
ALL Proceeds Benefit The
Leukemia and Lymphoma Society
and Local Charities
Whitney Farms Golf Course
Route 110
Monroe, Connecticut
Registration: 9:00 a.m.
Shotgun Start: 10:30 a.m.
Four person scramble (best ball)
Breakfast, Golf, Lunch, Beverages
Dinner Reception (open bar)
To Immediately Follow
Local 371
16th Annual
Union Ope n
Company / Union:_____________________________
Address:_______________________________________
______________________________________________
Phone:________________________________________
Contact Person:_________________________________
Email:_________________________________________
Platinum Tee Sponsor $1,500.00
(Includes Foursome)
Gold Tee Sponsor $500.00
Silver Tee Sponsor $350.00
Enclosed is our check for sponsorship fees
made payable to:
UFCW 371 Comm. Charity Inc.
UFCW
371
$175.00 per golfer
Please make checks payable to:
UFCW 371 Comm. Charity Inc.
290 Post Road West
Westport, CT 06880
I have enclosed $175.00 for each player
Registration Form
Name:_________________________________________
Address:_______________________________________
City:_________________State:_____Zip:___________
Cell:__________________________________________
Email:_________________________________________
______________________________________________
Names of Golfers in Your Foursome
1:_____________________________________________
2:_____________________________________________
3:_____________________________________________
4:_____________________________________________
Individual players will be assigned to a foursome
Non-Golfers please join us
Cocktail Reception and Dinner $50
I am unable to participate, but
enclosed is my donation to the
Local 371 UFCW Community
Charity, Inc.
All proceeds benefit the
Leukemia & Lymphoma Society &
other local charities
Please send names of foursomes with check
Space is Limited to 144 Golfers (36 teams)
RSVP Deadline is April 21, 2017
Yes, I/we want to play
on May 16, 2017
Your donation is tax deductible less $100.00.
Tax ID: 26-2356786
Please mail this form with your check payable to:
UFCW 371 Comm. Charity Inc.
290 Post Road West, Westport, CT 06880