Benefiting Sloan Kettering Memorial Hospital 

Fifth Annual “Denise Marie Flaherty, Memorial Golf Outing”

Thursday, August 7th 2008

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NOTE:  Because of Liability reasons, the Lance Armstrong Foundation will not allow events to be run in their name.  Consequently checks cannot be made payable to the LAF.  However, events can be run to benefit the LAF by their participating Peloton Members.   

If you would like more information on this policy you can contact: 

Mike Wolfe “Fundraising Mentor Northeast” @ 917-538-5595 or by email: michaelw@lafmentor.org

All Registration Forms are to be emailed or mailed to Brian Flaherty and checks will be made payable to Brian Flaherty in the amount of $200, due by June 15th.  Feel free to include in the memo of the check the charitable purpose for the tax write off.   

NAME: _______________________________________________________________

ADDRESS:_____________________________________________________________

                   _____________________________________________________________

EMAIL:  _______________________________________________________________

PHONE: _______________________________________________________________

# of Attendees:  _______

# of Golfers:  ________

If Dinner Only write N/A in # of Golfers and add # of Dinner only attendee’s here: _____


Mailing Address for Registration and Payment: 

Brian Flaherty – LAF Member
167 Benjamin Street
Toms River, NJ 08755

Please Note this is a rain or shine event and since all proceeds benefit the LAF there will be no refunds.

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