YOU'RE INVITED TO PARTICIPATE IN THE

2013 MPIGNY Destination Québec Golf Outing

Wednesday, July 31, 2013

Harbor Links Golf Course

Port Washington, New York

Harbor Links Golf Course: Only 30 minutes from New York City and Nestled among the scenic fairways and gorgeous greens of the world’s 29th Audubon International Signature Sanctuary, Harbor Links offers a unique golfing experience for all levels of play. Built in 1998, the 18 hole championship course, 9 hole executive course and miniature golf facility offer a variety of activities for members and guests. For more information, go to

GOLF OUTING SCHEDULE & FEES

TIME:8:30 am Bus leaves NYC

9:00 am - 10:30 amRegistration/Morning Hospitality

9:30 am – 10:30 amGolf Skills Contest

10:30 amShotgun Start/Golf Clinic

12:00 pm – 3:00 pmLunch on the golf course

4:30 pm – 8:00 pmNetworking Reception/Awards dinner

8:00 pmBus leaves for NYC

FEES:$225 per player for golf/$840 per foursome

$195 per person Miniature Golf, Lunch & Dinner

Avoid the waitlist and register early.

Sponsorship opportunities are available. For more information log on to .

Hotel Room Availability:

  • A block of rooms is being held on Tuesday and Wednesday evenings (July 17th & 18th) at the Roslyn Hotel at the special rate of $169 per night. Call (800) 626-9005 and ask for the MPI Golf Outing rate. The cut off date is June 17, 2013.
  • The Roslyn Hotel is situated in the quaint village of Roslyn only a few minutes from Harbor Links. It’s conveniently located within 20 minutes of LaGuardi and JFK airports and 30 minutes by car or train to midtown Manhattan.

2013 MPIGNY Destination Québec Golf Outing

Wednesday, July 31, 2013

Harbor Links Golf Course

GOLF PLAYER REGISTRATION FORM

MUST ACCOMPANY PAYMENT FORM
Total Number of Golfers Registering: / Individual (s): / X $225 = $
Foursome Host**: / Foursome / X $840 = $
PENFOLD CUP / Entry requirement is two teams of four.
Please copy this form and list 2nd foursome. / $1680
Name - Player 1 / Name - Player 2
Handicap* / Handicap*
Rentals Needed?** / YES/NOL/R / Rentals Needed?** / YES/NOL/R
Title / Title
Company / Company
Address / Address
City, State, Zip / City, State, Zip
Telephone / Telephone
Fax / Fax
Email / Email
Name – Player 3 / Name – Player 4
Handicap* / Handicap*
Rentals Needed?** / YES/NOL/R / Rentals Needed?** / YES/NOL/R
Title / Title
Company / Company
Address / Address
City, State, Zip / City, State, Zip
Telephone / Telephone
Fax / Fax
Email / Email

* For inexperienced golfers, use a handicap of 36

BEFORE JUNE 21ST, INDIVIDUAL PLAYERS WHO CANCEL CAN BE REPLACED BY THE FOURSOME SPONSOR. IF THE SPONSOR IS UNABLE TO FILL THE SPOT, THE SPOT MAY BE LEFT OPEN OR RETURNED TO MPIGNY TO BE FILLED BY THE FIRST PERSON FROM THE WAITLIST. IF THE SPOT IS FILLED FROM THE WAITLIST, THE SPONSOR WILL BE REIMBURSED THE COST FOR THAT PLAYER. THE SPONSOR WILL NOT BE ABLE TO REVIEW THE WAITLIST TO SELECT THE REPLACEMENT PLAYER. AFTER JUNE 21ST, IF YOU ARE UNABLE TO PARTICIPATE, THE FOURSOME WILL REVERT BACK TO MPIGNY TO BE FILLED FROM THE WAITLIST.

NAMES FOR FOURSOMES MUST BE SUPPLIED TO THE GOLF COMMITTEE BY JULY 12, 2013

NO REFUNDS WILL BE ISSUED AFTER JUNE 21, 2013.

**Golf club rentals must be reserved in advance and paid for the day of the event.

RENTALS ARE NOT INCLUDED IN THE PRICE OF THE OUTING.

2013 MPIGNY Destination Québec Golf Outing

Wednesday, July 31, 2013

Harbor Links Golf Course

ACTIVITIES REGISTRATION FORM

MUST ACCOMPANY PAYMENT FORM

____ Sign me up for the Golf Clinic* @ $195

(Includes 2 hour instructional clinic and play on the 9-hole Executive Course, Lunch,

Reception & Awards Dinner)

____ Sign me up for miniature golf package @ $195

(Includes Miniature Golf, Lunch, Reception & Awards Dinner)

_____ Sign me up as an attendee @ $175

(Includes Breakfast, Lunch, Reception & Awards Dinner)

Name:______

Company:______

Street Address:______

City, State, ZIP:______

Telephone:______Fax: ______

Email:______

*For clinic participants, please indicate level of ability:

___ Never played___ Beginner___ Some experience____ Intermediate

2013 MPIGNY Destination Québec Golf Outing

Wednesday, July 31, 2013

Harbor Links Golf Course

PAYMENT FORM

MUST ACCOMPANY REGISTRATION FORM

Registration form and full payment must accompany this form to reserve your spot.

Confirmation of your registration will be sent via email or mail within two weeks of receipt of your registration. If you do not receive confirmation, contact Kathie Stapleton at 914-762-1456.

To receive a full refund, you must cancel your reservations by June 8, 2012.

No refunds will be made after June 21, 2013

Event / #pp / Cost per Person
Golf - Individual / X $225 =
Golf - Foursome / X $840 =
Golf - Clinic / X $195 =
Miniature Golf or Attendee / X $195 =
Pre-tournament reception/dinner
Tuesday, July 30th / TBD
Roundtrip bus transportation
From NYC on Tuesday / X $20 =
Total = / $
Name:
Company:
Address / City, State, Zip
E-mail: / Fax:
 / I am enclosing a check payable to MPIGNY for / $
 / I am charging my: □American Express Card
(please X which one applies) / □ Visa □ Discover / □ MasterCard
Card Number: / Exp. Date
Billing Address Zip Code:
Signature:
Name as it appears on the card: / Security Code

Please return form and payment to:

Kathie Stapleton

MPIGNY

7 Fox Run Road

Briarcliff Manor, NY 10510

914-762-1456 Phone

914-944-9227 Fax