2012

Howard H. Belkin Memorial Golf Tournament

CT Breast Health Initiative, Inc.

Monday, September 10, 2012

Shuttle Meadow Country Club, Kensington, CT

Thanks to our Title Sponsor

Thanks to our Golf Cart Sponsor WEBSTER BANK

Supporting leading edge breast cancer research in Connecticut

Howard H. Belkin Memorial

Golf Tournament
A Golf Tournament with a Mission In nine years, the Ho ward H. Belkin Memorial Golf Tournament has raised approximately $285,000 for breast cancer education and research in Connecticut. Every year, the CT Breast Health Initiative remembers its founding Chairman Howard H. Belkin for his spirit and unwavering desire to find a cure for Breast Cancer. We appreciate all who participate and use their love of golf to raise monies for the statewide work of the CT Breast Health Initiative.

Sponsorship Levels
PLATINUM SPONSOR
Day of golf, lunch and dinner for four Name prominently displayed on event display and website Special recognition at reception Tee sponsorship (2)

$2,500

SPONSOR A SURVIVOR
Provide the day of golf, lunch and dinner for a breast cancer survivor

$200

TEE SPONSOR
Recognition on one tee

$100 $200

GOLF CART SPONSOR

Day of golf, lunch and dinner for four Name prominently displayed on all golfUNAVAILABLE FOR 2012 carts, event display and website Special recognition at reception with two invitations Tee sponsorship

$2,500

PIN FLAG SPONSOR

Recognition on one green. Sponsor keeps flag after the tournament.

RECEPTION & DINNER ONLY

$60

RAFFLE / AUCTION PRIZE DONOR

Name recognition at event

GOLD SPONSOR

$1,750 INDIVIDUAL GOLFER

Day of golf, lunch and dinner for one

Day of golf, lunch and dinner for four Sponsorship of one Breast Cancer Survivor golfer for the day Special recognition at reception

$250 $480 $900

TWOSOME FOURSOME

NOTE: All sponsors will be recognized on an event day banner Please choose your level of participation. Return this form by August 31st with your check to: CT Breast Health Initiative, Inc. 185 Main Street New Britain, CT 06051 www.ctbhi.org If you wish to pay by credit card, please register on-line at ctbhi.org or contact the CT Breast Health Initiative office for registration processing at 860-827-7103.

The Day
WHEN: Monday, September 10, 2012 WHERE: Shuttle Meadow Country Club, Kensington, CT TIME: 10:30 am 11:00 am 12:00 pm 5:00 pm Registration Lunch Shotgun Start, Silent Auction, Raffle Cocktail Reception and Dinner on Patio, Awards

FORMAT: Shamble (Team Prizes Awarded) CONTESTS: Hole in one Closest to the line Longest drive- men and women Pink Boat (Chipping Contest) Hot Ball Contest

Registration Form
Platinum Sponsor Golf Cart Sponsor Gold Sponsor Survivor Sponsor Tee Sponsor Pin Flag Sponsor Reception Only Auction Donor Raffle Donor Individual Twosome Foursome

Golfers name, address, phone and email (please print)

#1 Name Address Phone #2 Name Address Phone #3 Name Address Phone #4 Name Address Phone Email TOTAL $ How should your tee sign read? Item(s) donated Email Handicap Handicap Email Handicap Email Handicap

2012 Howard H. Belkin Memorial Golf Tournament

100% RAISED IN CT... 100% STAYS IN CT

CT Breast Health Initiative, Inc.

T he Connecticut Breast Health Initiative has one goal. One desire. To help find a cure for breast cancer in our lifetime. Connecticut is ranked 11th in the nation in breast cancer mortality. For a small state, thats a huge challenge. T hats why weve focused all of our considerable energy and resources on education and research... funding forward-thinking programs that have yet to qualify for federal grants. And were doing it where it matters most... right here at ho me.

$1.8 Million in Grants awarded over 9 years to:

Agency on Aging of South Central Connecticut Community Health Services, Inc. East Hartford Department of Health & Social Services, Hill Health Corp. Hartford Hospital Hispanic Center of Greater Danbury Hispanic Health Council Hospital of Central Connecticut Hospital of St. Raphael Ledge Light Health District MidState Medical Center Northeast District Department of Health Norwalk Department of Health Saint Marys Hospital St. Vincents Medical Center Foundation UCONN Health Center Uncas Health District VNA of Central Connecticut YWCA of New Britain Yale New Haven Hospital

Additionally, CT BHI partnered with UCONN Health Center to fund a professorship for clinical/ transitional research dedicated to breast cancer prevention, treatment and research. CT BHI funded this program for three years for a total of $300,000.

FOR MORE INFORMATION CALL 860-827-7103