Kyle Goldberg Memorial Foundation Form

Sponsor Name *

Contact Person/Title *

Address

City

State *

Zip

Email *

Tel

Fax

Select the Sponsorship Opportunities below *

Enclosed is my check payable to Kyle Goldberg Memorial Foundation in the amount of $

Please charge my gift of total $ *

Amex

Visa

MC

Account Number *

Exp. Date *

(mm/yy)

CVC Code *

Name on Card *

Signature *

Proceeds from the Kyle Goldberg Memorial Foundation Golf Tournament benefit the Kyle Goldberg Memorial Foundation, Federal Tax ID # 203651214, a not-for-profit charitable organization as described under section 501(c)(3) of the Internal Revenue Code. Payments in excess of $355 per participant are tax-deductible.

Player 1 Name

Handicap

Phone Number

Email Address

Player 2 Name

Handicap

Phone Number

Email Address

Player 3 Name

Handicap

Phone Number

Email Address

Player 4 Name

Handicap

Phone Number

Email Address

Please send this form and payment to:
Kenneth Goldberg
65 W 36th St. | Ste. 600 | New York, NY 10018
e: info@2-save.org • p:212.244.8985
To register online visit: http://www.2-save.org/2017golf