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Name ______________________________

Address ____________________________

City _______________ St____ Zip_______

Daytime Phone Number ________________

Team Members:

1. ________________________________2. ________________________________3. ________________________________4. ________________________________

____ Team Package @ $1,300 $________ ____ Single Entry @ $325 $____________ Hole Sponsor @ $250____ Major Sponsor @ $2,000____ Presenting Sponsor @ $5,000____ Dinner ticket @ $25 per person-(Each

tournament golfer receives 1 entry)

Total $ ________

Name to appear on signage:

___________________________________

Payment Options: Check (Made payable to LLS)Visa MC Disc AmexCard # _____________________________Expiration Date_______________________Name on Card________________________Signature_________________ Date ______

Send Payment and entry form to:The Leukemia & Lymphoma SocietyShanna Ireland300 N Main, Ste 300, Wichita, KS 67202Or Fax entry to 316.266.4960

Call 316.266.4050 for more informationOr visit www.lls.org/ks

Friday, June 24, 2011Crestview Country Club

Tournament Scheduleof Events:

9:30 am Check- In10:45 am Instruct ions11:00 am Shotgun Star t4:30 pm Awards/Pr izes

(Times Subject To Change)

K

ansas

Chap

ter

300NMa

in,

Ste300

W

ichita,

KS67202

NON-PROFITORG.

U.S.

POSTAGE

PAID

PERMITNO.

549

Friday, June 24, 2011Crestview Country Club

7:00 PMDinner & Si lent Auct ion

$25 per person donat ionOpen to non-tournament p layers

Each tournament golfer receives

1 entry to d inner/auct ion

RETURNSERVIC

EREQUESTED

22nd AnnualMemorial GolfTournament

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Golf OptionsFormat: Scramble Format, Everyone Plays

Team Package: $1,300 per team of fourFour Golf Tournament Entries (includes greenfee, cart, lunch, awards reception, snacks, tourna-ment gift and prizes)Single Entry: $325 per playerTournament Entry includes green fee, cart, lunch, awards

reception, snacks, tournament gift and prizes

SponsorshipHole Sponsorship: $250-Tee Sign, listed ontournament program

Prize Sponsorship: Donate merchandise orgift certificates for your business to be used asteam prizes. What a great way to promote yourbusiness. Donations need to be in multiples of 2or 4.

Major Sponsor: $2,000 (Limited to 10)-(2) Golf Tournament Entries, Tee Sign, Companyname on website and tournament program,Plaque presented after tournament

Presenting Sponsor: $5,000 (Limited to 5)(4) Golf Tournament Entries, Tee Sign,Company name on tournament program and allprinted materials, signage at tournament,Company logo on website, Opportunity forproduct sampling, Recognition after tournament,

Plaque presented after tournament, Recognitionin media & press releases

Auction & Dinner-New for 2011When: Friday, June 24, 7:00 PMWhere: Crestview Country ClubWhy: Join us for a dinner & silent auction as wehonor & remember those fighting a blood cancer& raise money to find a cure for blood cancers.What: $25 per person donation,tournament golfers receive 1 entry to dinner

The Leukemia & Lymphoma Society is the worlds

largest voluntary health organization dedicated to

funding blood cancer research, education and

patient services. The Societys mission: Cure

leukemia, lymphoma, Hodgkins disease and

myeloma and improve the quality of life of patients

and their families. The Leukemia & Lymphoma

Society invests more than $71 million annually in

support of more than 200 researchers, provides

financial assistance to patients, sponsors scientific

conferences around the country, produces

educational materials and videos, and runs over 50

support groups nationwide.

Specia l Thanks to:Alexander Open SystemsAll Seasons Sportswear

AutoCraf tBuffalo Wild Wings

Candle ClubCigars Etc .

Clear Channel RadioCrestv iew Country Club

Doc GreensDocuplex

EMC InsuranceFidel i ty Bank

Graphics SystemsJasons Del iJohn Browns

Kansas Medica l Center KAKE TV 10

Klenda, Mitchel l , Austerman & ZuercherLaRue Coffee

McAlisters Del iMKEC Engineering Consultants

NCRIOi l Producers o f Kansas

Parad ise DonutsPepsiRSA

Rose Hi l l BankSecur i ty 1st T i t l e

Speedy CashTexas Roadhouse

Tournament Schedule of Events

Friday, June 24, 20119:30 am-10:30 am Check-In10:45 am Instructions11:00 am Shotgun Start

Tournament Awards, Dinner &

Auct ion Schedule of EventsFriday, June 24, 2011

7:00 PM Dinner & SilentAuction

$25 per person donation1 dinner/auction entry included for Tournament golfers

Dinner is open to everyone(Times subject to change)

2011 Tournament Honored Hero:David Toland

I was diagnosed NH-L,Mantle Cell in 5-2003. I hada stem cell transplant in

2-2004 at The Lied'sTransplant Center, Omaha,Neb. I had a recurrence in

8-2007 and 8-2008. I am currently in remissionagain. I spent a great deal of time in thehospital before and shortly after the transplant. Ihave had both knees and shoulders replacedand I am scheduled to have a hip replaced laterthis year and the other one next year, due tovein failure.

Currently I am part of the First Connection,

Honored Patient and LLS support groups. I alsoreceive financial support from LLS. I have beena participant in Light the Night activities.