Select your level of sponsorship and/or player participation by checking the boxes below. For more information contact Ana Aleman-Ospina at (203) 284-2881 or firstname.lastname@example.org.
Upon receiving your completed form we will send you an invoice. Please make checks payable to Gaylord Hospital, Development Office. To ensure AD SPACE please submit this form by Friday, May 10th.
Please Note: If you select either "Single Player" or "Foursome" please be sure to download and complete the Entry Form and send it with you payment.