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 FD Classic - Monday, July 23rd, 2018

Please use this form to register golfers or to sponsor the event.

Registration / Sponsorship Options:

Each individual player spot - $400

One Foursome ($1,600)

One individual player spot plus corporate sponsorship and tee box sign - $750

One foursome, corporate sponsorship,
tee box sign, name on a giveaway item, and additional
acknowledgement/signage in the dining & auction area - $2,000

Name/company listed on signage on either a tee box or green - $500

Cocktail Reception - Limited space available - $50/person

Silver Event Sponsor - $2,500

Gold Event Sponsor - $5,000

Diamond Event Sponsor - $10,000

Or, make a donation.

Please be assured that your transaction is secure and none of your credit card information will be stored in our records. Your privacy is important to us. We will not share your information with any other organization and you will not be added to any third-party mailing lists.

Once you fill out this form, you will be transferred to a secure web site
to enter your credit card details.

Golfer / Sponsor Information:
Register / Sponsor:
(select a registration or sponsorship option)
Enter names of golfers and handicaps. For sponsors, enter name as you want it to appear on signage
Payment Information:
Your First Name:  
Your Last Name:  
Mailing Address: Address 1
  Address 2
State / Zip:     
Phone Number:
eMail Address:  
Method of payment: 


All sponsorships are tax deductible. $150 of each golfer registration is tax deductible.
You will receive an email receipt for your contribution.

The Dysautonomia Foundation is a registered 501(c)3 non-profit organization.

 Dysautonomia Foundation, Inc.
 315 West 39th Street, Suite 701
New York, NY 10018
Phone: 212-279-1066
Email: info@familialdysautonomia.org

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