The 6th Annual Junta42 Golf for Autism
All Proceeds Benefit the
Easter Seals Autism & Speech Therapy Program
Monday, August 13, 2012
Acacia Country Club
26899 Cedar Road, Lyndhurst, OH 44124
(20 Minutes East of Downtown Cleveland)
Includes 18 holes of golf with beverage cart cooler • Lunch • Dinner • Gift Bag • Prizes • Raffle • Drinks
1:00 p.m. Shotgun Start / Registration begins at 11:30 a.m.
Four-Person Scramble Format
Entry Deadline: $100 per person before July 15, 2012
$115 per person after July 15, 2012
LIMITED TO FIRST 128 GOLFERS!
(Just Dinner, No Golf - $30)
(Detach and return with fees)
REGISTRATION FORM
FOR THE
6th ANNUAL JUNTA42 GOLF FOR AUTISM TO BENEFIT EASTER SEALS
Your Name ______Email Address ______
Phone ______
Other Players
Name ______Email Address ______
Name ______Email Address ______
Name ______Email Address ______
Please make checks payable to: Junta42 Golf for Autism
Mail to: Junta42 Golf for Autism, 3317 W. 155th St., Cleveland, OH 44111
For sponsorship opportunities or to support this cause, please contact Joe Pulizzi at
, 216-941-5842.
6TH Annual Junta42 Golf for Autism
Proceeds Benefiting Easter Seals Autism & Speech Therapy
August 13, 2012
Acacia Country Club
Sponsorship Agreement
Company______
(As you prefer to be listed)
Contact Name______Phone______
Address______
City ______State ______Zip______
Email Address ______
I would like to support Junta42 Golf for Autism Golf Outing by becoming:
_____ Presenting Sponsor @ $5,000 (Limited to One – This is the Main Sponsor Package)
_____ Gold Sponsor @ $2,500 (Limited to Four Sponsors – Includes Logo Placement and
Mention on all materials)
_____ Foursome Sponsor @ $600 (Includes a Foursome Spot + Hole Sign)
_____ Individual Sponsor @ $250 (Includes Hole Sign)
_____ Donation to the Cause (Thank You! Every little bit counts!)
Amount Enclosed $______
Mail Sponsorship Form & Payment To:
Junta42 Golf for Autism
3317 W. 155th Street, Cleveland, OH 44111
(216) 941-5842
Contact Joe Pulizzi, Junta42 GFA Committee Chair, at for more information.