Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

SPONSORSHIP LEVELS ■ $3,500 – Major Sponsor

Two foursomes, four (26" h x 35" w) signs, company logo on all advertising, personalized golf tees

■ $2,500 – Eagle Sponsor One foursome, two (23" h x 35" w) signs, one tee sign, company logo on all advertising

■ $1,500 – Cart Boarding Area Sponsor One foursome, two signs in golf cart loading area, company logo on all advertising

■ $1,000 – Lunch/Dinner Sponsor Two players, one (23" h x 35" w) sign displayed at lunch/dinner site, company logo on all advertising

■ $500 – Birdie Sponsor One player, two (23" h x 30" w ) signs

■ $225 – Tee & Green Signs Two (17" h x 23" w) signs

■ $125 – Tee or Green Sign One (17" h x 23" w) sign

■ $60 – Flag Sign One (12" h x 18" w) sign

■ $30 – Program Sponsor Mention in the program

July 15, 2019 Wahconah Country Club

Sponsored by

208

Wes

t St

reet

P

itts

fiel

d, M

A 0

1201

Name: (as you would like it to appear on the sign or in the program)

Address

City State Zip

Contact Person Phone

Email

21st Annual UCP of Western Massachusetts, Inc.

Golf Tournament

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 1

UCP of Western Massachusetts, Inc. is proud to announce their 21st Annual Golf Tournament!

This year’s tournament, underwritten by: Ascentek Technology Solutions, Greylock Insurance Agency, Aldam Press, Appalachian Contractors, ServiceMaster of the Berkshires, Greylock Federal Credit Union, Kushi & Company PC, BBE Office Interiors and Mountain One Bank Insurance Investments, will be held on Monday, July 15, 2019 at Wahconah Country Club, 20 Orchard Road, Dalton, MA. UCP is a non-profit agency that supports over 3,300 children and adults with physical and developmental disabilities and their families in Western Massachusetts. We certainly hope you join us for what promises to be a fun day on the links! If you have any questions, please contact Joni Thomas at 413-442-1562 or jthomas@ucpberkshire.org.

Sincerely, UCP’s Golf Committee Sue DeSanty, Sarah Gaffey, Mike Geary, Dan Proskin,

Sign up individually, or as a team of four. Captain and Crew format. Entry fee includes green fees, cart, lunch, buffet dinner and tournament contests. 2019 PRICES Individual Golfer . . . . . . . . . . . . . . . . . .$135 Foursome . . . . . . . . . . . . . . . . . . . . . . . .$540 Dinner Guests . . . . . . . . . . . .$35 Per Person Important notes for tournament participants: • Wahconah Country Club is a non-metal spike facility • Collared shirts & other proper golf attire are required • Tank tops, tee shirts and cut-off jeans are not allowed • Men’s handicap up to 30, Women’s handicap up to 36

SCHEDULE Registration . . . . . . . . . 10:30 a.m. – 12:00 p.m. Lunch . . . . . . . . . . . . . . 11:30 a.m. – 12:15 p.m. Shotgun . . . . . . . . . . . . . . . . . . . . . . . 12:30 p.m. Buffet Dinner . . . . . . . . . . . . . . . . . . . . 6:00 p.m.

Awards and silent auction/raffle drawing follows dinner

PAYMENT In order to secure your team/slot, full payment must accompany the registration form which must be received at UCP no later than June 28, 2019. Additional players/teams will be accepted beyond June 28, 2019 on a first-paid basis until all team slots are full. Please make checks payable to: UCP, 208 West Street, Pittsfield, MA 01201 Rain refund policy: There is no rain date. There will be no refunds unless the course is closed. In the event the course is closed, you may request a refund for your greens fees. Buffet dinner will be held rain or shine at 6:00 p.m.

Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

REGISTRATION

1 2 3 4

GolfersTo our

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

✂

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 2

UCP of Western Massachusetts, Inc. is proud to announce their 21st Annual Golf Tournament!

This year’s tournament, underwritten by: Ascentek Technology Solutions, Greylock Insurance Agency, Aldam Press, Appalachian Contractors, ServiceMaster of the Berkshires, Greylock Federal Credit Union, Kushi & Company PC, BBE Office Interiors and Mountain One Bank Insurance Investments, will be held on Monday, July 15, 2019 at Wahconah Country Club, 20 Orchard Road, Dalton, MA. UCP is a non-profit agency that supports over 3,300 children and adults with physical and developmental disabilities and their families in Western Massachusetts. We certainly hope you join us for what promises to be a fun day on the links! If you have any questions, please contact Joni Thomas at 413-442-1562 or jthomas@ucpberkshire.org.

Sincerely, UCP’s Golf Committee Sue DeSanty, Sarah Gaffey, Mike Geary, Dan Proskin,

Sign up individually, or as a team of four. Captain and Crew format. Entry fee includes green fees, cart, lunch, buffet dinner and tournament contests. 2019 PRICES Individual Golfer . . . . . . . . . . . . . . . . . .$135 Foursome . . . . . . . . . . . . . . . . . . . . . . . .$540 Dinner Guests . . . . . . . . . . . .$35 Per Person Important notes for tournament participants: • Wahconah Country Club is a non-metal spike facility • Collared shirts & other proper golf attire are required • Tank tops, tee shirts and cut-off jeans are not allowed • Men’s handicap up to 30, Women’s handicap up to 36

SCHEDULE Registration . . . . . . . . . 10:30 a.m. – 12:00 p.m. Lunch . . . . . . . . . . . . . . 11:30 a.m. – 12:15 p.m. Shotgun . . . . . . . . . . . . . . . . . . . . . . . 12:30 p.m. Buffet Dinner . . . . . . . . . . . . . . . . . . . . 6:00 p.m.

Awards and silent auction/raffle drawing follows dinner

PAYMENT In order to secure your team/slot, full payment must accompany the registration form which must be received at UCP no later than June 28, 2019. Additional players/teams will be accepted beyond June 28, 2019 on a first-paid basis until all team slots are full. Please make checks payable to: UCP, 208 West Street, Pittsfield, MA 01201 Rain refund policy: There is no rain date. There will be no refunds unless the course is closed. In the event the course is closed, you may request a refund for your greens fees. Buffet dinner will be held rain or shine at 6:00 p.m.

Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

REGISTRATION

1 2 3 4

GolfersTo our

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

✂

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 2

UCP of Western Massachusetts, Inc. is proud to announce their 21st Annual Golf Tournament!

This year’s tournament, underwritten by: Ascentek Technology Solutions, Greylock Insurance Agency, Aldam Press, Appalachian Contractors, ServiceMaster of the Berkshires, Greylock Federal Credit Union, Kushi & Company PC, BBE Office Interiors and Mountain One Bank Insurance Investments, will be held on Monday, July 15, 2019 at Wahconah Country Club, 20 Orchard Road, Dalton, MA. UCP is a non-profit agency that supports over 3,300 children and adults with physical and developmental disabilities and their families in Western Massachusetts. We certainly hope you join us for what promises to be a fun day on the links! If you have any questions, please contact Joni Thomas at 413-442-1562 or jthomas@ucpberkshire.org.

Sincerely, UCP’s Golf Committee Sue DeSanty, Sarah Gaffey, Mike Geary, Dan Proskin,

Sign up individually, or as a team of four. Captain and Crew format. Entry fee includes green fees, cart, lunch, buffet dinner and tournament contests. 2019 PRICES Individual Golfer . . . . . . . . . . . . . . . . . .$135 Foursome . . . . . . . . . . . . . . . . . . . . . . . .$540 Dinner Guests . . . . . . . . . . . .$35 Per Person Important notes for tournament participants: • Wahconah Country Club is a non-metal spike facility • Collared shirts & other proper golf attire are required • Tank tops, tee shirts and cut-off jeans are not allowed • Men’s handicap up to 30, Women’s handicap up to 36

SCHEDULE Registration . . . . . . . . . 10:30 a.m. – 12:00 p.m. Lunch . . . . . . . . . . . . . . 11:30 a.m. – 12:15 p.m. Shotgun . . . . . . . . . . . . . . . . . . . . . . . 12:30 p.m. Buffet Dinner . . . . . . . . . . . . . . . . . . . . 6:00 p.m.

Awards and silent auction/raffle drawing follows dinner

PAYMENT In order to secure your team/slot, full payment must accompany the registration form which must be received at UCP no later than June 28, 2019. Additional players/teams will be accepted beyond June 28, 2019 on a first-paid basis until all team slots are full. Please make checks payable to: UCP, 208 West Street, Pittsfield, MA 01201 Rain refund policy: There is no rain date. There will be no refunds unless the course is closed. In the event the course is closed, you may request a refund for your greens fees. Buffet dinner will be held rain or shine at 6:00 p.m.

Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

REGISTRATION

1 2 3 4

GolfersTo our

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

Name

Address

City State Zip

Phone Handicap

Email

✂

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 2

Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

SPONSORSHIP LEVELS ■ $3,500 – Major Sponsor

Two foursomes, four (26" h x 35" w) signs, company logo on all advertising, personalized golf tees

■ $2,500 – Eagle Sponsor One foursome, two (23" h x 35" w) signs, one tee sign, company logo on all advertising

■ $1,500 – Cart Boarding Area Sponsor One foursome, two signs in golf cart loading area, company logo on all advertising

■ $1,000 – Lunch/Dinner Sponsor Two players, one (23" h x 35" w) sign displayed at lunch/dinner site, company logo on all advertising

■ $500 – Birdie Sponsor One player, two (23" h x 30" w ) signs

■ $225 – Tee & Green Signs Two (17" h x 23" w) signs

■ $125 – Tee or Green Sign One (17" h x 23" w) sign

■ $60 – Flag Sign One (12" h x 18" w) sign

■ $30 – Program Sponsor Mention in the program

July 15, 2019 Wahconah Country Club

Sponsored by

208

Wes

t St

reet

P

itts

fiel

d, M

A 0

1201

Name: (as you would like it to appear on the sign or in the program)

Address

City State Zip

Contact Person Phone

Email

21st Annual UCP of Western Massachusetts, Inc.

Golf Tournament

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 1

Please complete the form below and return it with your check to:

UCP, 208 West Street, Pittsfield, MA 01201

SPONSORSHIP LEVELS ■ $3,500 – Major Sponsor

Two foursomes, four (26" h x 35" w) signs, company logo on all advertising, personalized golf tees

■ $2,500 – Eagle Sponsor One foursome, two (23" h x 35" w) signs, one tee sign, company logo on all advertising

■ $1,500 – Cart Boarding Area Sponsor One foursome, two signs in golf cart loading area, company logo on all advertising

■ $1,000 – Lunch/Dinner Sponsor Two players, one (23" h x 35" w) sign displayed at lunch/dinner site, company logo on all advertising

■ $500 – Birdie Sponsor One player, two (23" h x 30" w ) signs

■ $225 – Tee & Green Signs Two (17" h x 23" w) signs

■ $125 – Tee or Green Sign One (17" h x 23" w) sign

■ $60 – Flag Sign One (12" h x 18" w) sign

■ $30 – Program Sponsor Mention in the program

July 15, 2019 Wahconah Country Club

Sponsored by

208

Wes

t St

reet

P

itts

fiel

d, M

A 0

1201

Name: (as you would like it to appear on the sign or in the program)

Address

City State Zip

Contact Person Phone

Email

21st Annual UCP of Western Massachusetts, Inc.

Golf Tournament

UCP_GolfRegistration2019.qxp_Layout 1 5/22/19 11:02 AM Page 1