S ave th e D a te - Kingsbrook Jewish Medical Center

AMEX ❑
Visa ❑
MC ❑
Signature_______________________________________________
Account No.____________________________ Exp. Date________
Name (printed on card)____________________________________
Form of payment: Check ❑
______________________________________________________
Golfer Name(s)
Organization
Handicap
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Organization name to be printed on sponsorship sign(s):
and
Sands Point Golf Club
140 Middle Neck Road
Port Washington, NY 11050
Directions from the Long Island Expressway to
North Hempstead Country Club:
• Take LIE to Exit 36
• Go North on Searingtown Road.
• Cross over Northern Boulevard. After this,
Searingtown Road becomes Port Washington
Boulevard.
• Continue North on Port Washington
Boulevard.
• Go 5 traffic lights.
• At the 5th traffic light make a right into the
driveway of North Hempstead Country Club.
For Sands Point Golf Club:
• Follow directions towards North Hempstead
Country Club, continue on Port Washington
Boulevard for 3.3 miles. Port Washington
Boulevard will become Middle Neck Road.
• Continue on Middle Neck Road for .6
miles.
• Turn left into the driveway of Sands Point
Golf Club.
List in formation; as of June 14, 2009
Jzanus Family of Companies
Arks Radiology Management, Inc.
S&D Medical, LLP
InnerForce
William Lois, M.D.
Pathway Systems Designs
DomaniTech, Inc.
Empire General Contracting
PyroSignal
Kevin Molloy
Siemens Medical Solutions, USA
Tritech Healthcare Management, LLC
Bottomline Reimbursement
Empire Blue Cross
MedData, Inc.
Professional Claims Bureau Inc.
Sterling National Bank
The Max Group, LLC
Kingsbrook’s ONLY event in 2009
North Hempstead Country Club &
The Sands Point Golf Club
Port Washington, New York
Monday, September 14, 2009
Proceeds to benefit Kingsbrook’s
clinical services, community outreach
and screening programs through
enhancements to nuclear medicine in
the Department of Radiology and the
purchase of a Nuclear Gamma Camera.
Save the Date!
PRESORTED
FIRST CLASS MAIL
U.S. POSTAGE
PA I D
BROOKLYN, NY
PERMIT NO. 7818
Kingsbrook Jewish Medical Center
Would like to thank the following
sponsors and underwriters:
585 Schenectady Avenue
Brooklyn, NY 11203-1891
Tel (718) 604-5000
www.kingsbrook.org
at
North Hempstead Country Club
Port Washington Boulevard
Port Washington, NY 11050
Brooklyn, NY 11203
9th Annual Celebrity Golf & Tennis Classic
585 Schenectady
Avenue
“We’ll
earn your trust.”
For more information, please call
Joyce Leiz at 718-604-5479
Joyce Leiz
KJMC Development
Kingsbrook Jewish Medical Center
585 Schenectady Avenue
Brooklyn, NY 11203
Fax: 718-604-5243
Mail or fax registration sponsorship form by
August 14, 2009 to:
Please make checks payable to:
Kingsbrook Jewish Medical Center
Foundation
Kingsbrook Jewish Medical Center
$3,500
Includes 1 foursome or 4 tennis players; an eighth page
message in the Journal Magazine; signage at selected oncourse amenity. Select underwriting opportunity:
□ Longest Drive ~ □ Straightest Drive ~ □ Putting
Green ~ □ Fantasy Golf ~ □ Hole-in-One ~ □ Ice Cream ~
□ Frozen Candy Bar ~ □ Tropical Drinks ~
□ Refreshment
Entering politics through his dedicated work in various civic
associations, Rep. Towns has the distinction of being the first
African American to serve as Deputy Brooklyn Borough President.
Congressman Towns and his son, Darryl, a New York State
Assemblyman, are the first African-American father-son team
to serve simultaneously in New York public office. An ordained
Baptist minister, Towns is married to Gwendolyn (Forbes) Towns,
and the couple has two children, Darryl and Deidra, and five
grandchildren.
He is Chair of the New York State Assembly Standing Committee
on Banks and the New York State Black, Puerto Rican/Hispanic
and Asian Legislative Caucus. He also serves on several Assembly
Committees, including Economic Development, Health, and Mental
Health. Additionally, he is an active member of the National Black
Caucus for State Legislators, and a member of the New York State
Assembly and Senate Hispanic/Puerto Rican Task Force.
A graduate of North Carolina Agricultural & Technical State
University, Towns served in the United States Air Force. Prior to his
election, he was the Director of Community Affairs at Brooklyn’s
Interfaith Hospital. He currently serves as an honorary member of
the Kingsbrook Jewish Medical Center Advisory Board. The son of
veteran Congressman Ed Towns, the Kings County lawmaker lives in
Brooklyn with his wife, Karen Boykin-Towns, and their daughters,
Jasmine and Trinity.
Reservation/Sponsorship Form
On-Course
Since being elected to office in 1983, his priorities have always
been those of central importance to the constituents he serves. He
has been a champion for adequate public healthcare, improving
the nation’s healthcare all around, equal access to technology and
quality public education.
Towns has championed a variety of measures. His ANCHOR Program
legislation, which was unanimously supported in both houses of
the State Legislature, will help bolster commercial revitalization in
residential communities throughout the boroughs of New York City
and support the increase of newly constructed housing developments.
Name_ _____________________________________________
Company Name______________________________________
Address_____________________________________________
City___________________ State______ Zip_______________
Daytime Phone_______________________________________
Email Address_ ______________________________________
All contributions but $350 per golfer, $200 per tennis
participant, or $150 per dinner only guest are taxdeductible to the extent permitted by law. A formal
tax acknowledgement will follow; please consult your
financial advisor.
$4,000
Includes 1 foursome or 4 tennis players; a quarter page
message in the Journal Magazine; a tee sign at starting
hole. Select underwriting opportunity: □ Valet ~
□ Brunch ~ □ BBQ SOLD ~ □ Cocktail Reception ~
□ Buffet Dinner ~ □ Dessert Extravaganza
Assemblyman Darryl C. Towns works diligently on behalf of his
constituents to advance local commercial revitalization and community
improvement projects, promote job creation, support youth and senior
citizen programs and activities, and enhance the quality of education.
Registration Fee
Raffle Donations
Donations of golf and sports related items, as well as
gift certificates and tickets to cultural and sporting
events, golf outings or restaurants are welcome
additions to our raffle inventory.
Please call Joyce Leiz at (718) 604-5479.
Event
Congressman Edolphus “Ed” Towns, a former social worker and
community activist in Brooklyn, New York, is a 14-term veteran
in the House.He is the current chairman of the Committee on
Oversight and Government Reform, whose legislative jurisdiction
is over federal procurement, civil service, management and
information policy.
❑ Individual Golf @ $500 per person
❑ Individual Tennis @ $400 per person
❑ Cocktail & Buffet Dinner Only @ $250 per person
Spikeless shoes are required on the course. No denim allowed. Collared shirt and slacks or
Bermuda shorts are required.
Includes 1 foursome or 4 tennis players; a half page
message in the Journal Magazine; a tee sign at starting
hole. Select underwriting opportunity: □ Golf Cart ~
□ Caddy ~ □ Awards ~ □ Gift of the Day ~ □ Tennis
Darryl Towns
54th Assembly District
Yes, I would like to be a:
❑ Diamond Sponsor $25,000
❑ Platinum Sponsor $15,000
❑ Gold Sponsor $10,000
❑ Silver Sponsor $7,500
❑ Presentation Underwriter $5,000
Select one: ❑Golf Cart ❑Caddy ❑Awards ❑Gift of the Day ❑Tennis
❑ Event Underwriter $4,000
Select one: ❑Valet ❑Brunch ❑BBQ SOLD ❑Cocktail Reception
❑Buffet Dinner ❑Dessert Extravaganza
❑ On-Course Underwriter $3,500
Select one: ❑Longest Drive ❑Straightest Drive ❑Putting Green
❑Fantasy Golf ❑Hole-in-One ❑Ice Cream
❑Frozen Candy Bar ❑Tropical Drinks ❑Refreshment
$3,000
6:30 pm Awards, Raffles and Dinner
North Hempstead Country Club
Underwriting Opportunities:
Presentation $5,000
Edolphus “Ed” Towns
10th Congressional District of New York
❑ Single Hole Foursome 5:30 pm Cocktails
North Hempstead Country Club
Includes 1 foursome or 4 tennis players; recognition on
signage at the entry to both clubhouses; full page message
in Journal Magazine; a tee sign at starting hole.
••
I cannot attend, but please accept my donation of $_______ to benefit
Kingsbrook Jewish Medical Center.
12:30 pm Tennis Round Robin
North Hempstead Country Club
$7,500
Assemblyman Darryl Towns
Total ➩Please see other side
12:00 pm Shot gun tee-off
North Hempstead Country Club
$10,000
Includes 2 foursomes or 8 tennis players; recognition on
signage at the entry to both clubhouses; preferred full
page message placement in Journal Magazine; recognition
from the podium at the dinner presentation; a tee sign at
starting hole.
Silver
and
$15,000
Includes 2 foursomes or 8 tennis players; presenting
recognition on entrance banners at both Country Clubs;
prominent two-page spread placement in Journal Magazine;
recognition from the podium at the dinner presentation; a
tee sign at starting hole.
Gold Congressman Edolphus Towns
Signage
11:30 am Shot gun tee-off
Sands Point Golf Club
Platinum
Pacesetter Award Recipients
$1,200
$1,000
Schedule:
10:00 am Registration
North Hempstead Country Club
& Sands Point Golf Clubs
Includes 3 foursomes or 12 tennis players; presenting
recognition on entrance banners at both Country Clubs;
premier message placement on the Journal Magazine back
outside, front inside or back inside cover; recognition from the
podium at the dinner presentation; tee sign at starting holes.
❑ Tee Sign ❑ Tennis Court Sign Hole-in-one, Longest Drive and
Straightest Drive competitions!
Sponsorship Opportunities:
Diamond
$25,000
Kosher meals available upon request.
Golf courses will be assigned by Kingsbrook.
Program includes:
• Breakfast
• Green Fees, Golf Cart and/or Tennis Court
• Caddies
• Locker Room Facilities
• Driving Range use
• BBQ Lunch
• Refreshments on course
• Cocktail reception and Buffet Dinner
and features…