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Golf Tournament Registration - 2012

Spend a fun and relaxing day with us and a select group of community and national organizations — participate as a sponsor of our annual MedStar Good Samaritan Hospital/Thomas J. Reynolds, Sr. Memorial Golf Tournament on Monday, June 11, 2012.MedStar Good Samaritan Hospital and its parent company, MedStar Health, respect your privacy. The information you submit is used for internal purposes only.

* Indicates required information

Sponsorship Information

 

Levels marked with * include at least one player; please fill out the Player Information section below.

 
Please choose your sponsorship level. * 
Although I will not be able to participate in the Golf Tournament, please accept my contribution of: 
Team Contact Name * 
Company (as you wish it to appear on tournament recognition materials) * 
Address * 
Address 2 
City * 
State * 
Zip * 
Phone * 
Fax * 
Email * 

Payment

 
Please make your check payable to "Good Samaritan Hospital Foundation" and mail to: Good Samaritan Hospital Foundation, 5601 Loch Raven Boulevard, Baltimore, MD 21239 
For questions or help with payment options, call Gena Butler at 443.444.4267. 

If registering players, please complete the section below. 

Player Information

 
Group Details * 


Player 1 
Name 
Daytime Phone 
Email Address 
Handicap 
Player 2 
Name 
Daytime Phone 
Email Address 
Handicap 
Player 3 
Name 
Daytime Phone 
Email Address 
Handicap 
Player4 
Name 
Daytime Phone 
Handicap 
Email Address 
 
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MedStar Good Samaritan Hospital of Maryland | 5601 Loch Raven Boulevard | Baltimore, MD 21239 | 443.444.8000 | Copyright 2013