Nevada State AFL-CIOWalt Elliot

Golf Tournament

November 13, 20157:30 A.M.

Shotgun Scramble

Highland Falls Golf Club10201 Sun City Blvd.Las Vegas, NV 89134

Walt ElliotGO

LF TOURNAM

ENT

REGISTRATION FORM, side 2

Name of Golfer(s):

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

I will not be golfing but wish to make a contribution:

_____ Monetary Donation: $______________

_____ Raffle Prize Donation: _____________________

______________________________________

______________________________________

Please make checks payable to:Nevada State AFL-CIO

Please mail completed form and check to:

602 E. John Street, Carson City, NV 89706

For more information, please call Ielina at 702.459.1414.

Highland Falls Golf Club

ENTRY FEE $250 PER GOLFERIncludes lunch and entry gifts. Raffle tickets may be purchased separately.

LUNCH SPONSOR $2500Includes 1 foursome, 5 sponsored holes with signs, and banner displaying your name during luncheon and awards ceremony

PLATINUM SPONSOR $1800Includes foursome and 4 sponsored holes with signs

GOLD SPONSOR $1500Includes foursome and 3 sponsored holes with signs

SILVER SPONSOR $1000Includes foursome and 1 sponsored hole with sign

HOLE SPONSOR $250 PER HOLEIncludes sign

There will be lots of raffle prizes. Events will include closest to the pin and longest drive.

Walt Elliot

REGISTRATION FORM Registration deadline is November 6, 2015

Organization/Name: ______________________________

_____________________________________________

Address: ______________________________________

_____________________________________________

Phone: ________________________________________

E-Mail: _______________________________________

_____ Entries @ $250 per golfer = $_________

_____ Hole Sponsor @ $250 per hole = $_________

_____ Tournament Sponsor = $_________ Please indicate level: a Lunch $2500 a Gold $1500 a Platinum $1800 a Silver $1000

_____ Monetary Donation: $______________

_____ Raffle Prize Donation: _____________________

______________________________________

DONATIONSA new unwrapped toy or gift card to

be donated to the children at St. Jude’s Ranch is requested from

each golfer in this tournament.

– OVER –

• RETIRED (AMERITUS)

• PRESIDENT NV AFL-CIO (OVER 20 YEARS)

• VICE PRESIDENT H.E.R.E.I.U.

• FST AND BM BARTENDERS LOCAL 165 (OVER 25 YEARS)