PROGRAM—Modified Scramble

MONDAY, SEPTEMBER 20th, 2010

11:00 - 11:45 a.m. Registration & Lunch

12:00 noon Tee Time
5:00 p.m. Cocktails & Hors d’oeuvres
6:00 p.m. Dinner and Raffles

_____$100  Tee Box Sponsor
_____  $50  Cart Sponsor
_____  Gift Bag Item Sponsor*
_____  Raffle Item*

*Please call our office for specific needs


____$1,000 Platinum Sponsor       
____ $  500 Gold Sponsor      
____ $  250 Silver Sponsor
____ $  200 Closest to Pin      
____ $  200 Longest Drive


First Prize, Second Prize, Third Prize, Closest To The Pin, Longest Drive & More

_______$600/foursome or   ________ $150/individual (Includes:  Carts and Greens Fees,
Refreshments on the Course, Lunch, Beer and Soda on the Turn, Hot & Cold Hors D’oeuvres and Dinner.)
_______$ 50 Individual Cocktails & Dinner Only 


For More Information:  Call 348-2060 or email your question to golf@mrgteam.com
Or Mail Completed Form to: Tournament Committee, Miranda Real Estate Group, Inc.,
1482 Route 9, Clifton Park, NY 12065 or you may fax to:  518-688-0243
To Register Online Visit: www.MirandaGolf.com

_____ My Business Would Like to Sponsor A Hole for a Donation of $100. (Company Name will appear on Golf hole.  Please print your name as you would like it to appear.
  Business Name: ____________________________________________________

_____ My Business Would Like to participate in one of the above sponsor levels:  Please indicate Level
(Check Above) – ________ Enclosed is my Check      ________ Please invoice me.

_____ My Business would like to Donate the following:  ___________________________________________________   

_____ Yes, I am interested in playing golf.  My Foursome will be:
________ Enclosed is my Check for $600.00                    ________ Please invoice me. Payment will be due prior to or at
time of the event.

_____________________________________________       _________________________________________

_____________________________________________       _________________________________________

_____ Yes, I am interested in playing golf but need to be paired up with someone.
________ Enclosed is my Check for $150.00  ________ Please invoice me.

_____ No, I am not interested in playing golf but would like to come for dinner.
________ Enclosed is my Check for $50.00                    ________ Please invoice me.

Name:  _____________________________________________ Phone: ____________________________

Address:                                                                                                                                                                               

Email: