Gail’s Angels 2nd Annual Golf Classic – Reservations Name ___________________________________________________________ Business Phone ______________________________________________________________________________________________________________________________________________ Company _______________________________________________________ Home Phone ___________________________________________________________________________ Address _________________________________________________________ Fax ____________________________________________________________________________________________ ________________________________________________________________ e-mail address ________________________________________________________________________ ________________________________________________________________ ______ Golfer (s) for noon shotgun tee off @ $125 = __________ ______ Cocktail reception and dinner only @ $40 $ __________ ____________________________ ____________________________ I/ We cannot join you. However, I/ we would like to ____________________________ ____________________________ Support the event with a donation $ ______________________________. Golfer (s): I / We give permission for the use, without fee, of my/our name (s) and picture(s) in any broadcast, telecast, or print media account of this event for promotional and publicity purposes. Reservation Information Places are available for noon shotgun starts. Reservations will be accepted on a first come, first served basis. All reservations must be accompanied by payment. Payment Information Check to Gail’s Angels Foundation Visa MasterCard American Express Name on Credit Card _ __________________________________________________________________________________________________________________________________________ Signature ___________________________________________________________________________________________________________________________________________________ Card No. _ ____________________________________________________________________________________________________________________________________________________ Expiration Date ____________________________________________________________________________________________________________________________ Online registration: www.gailsangels.org Total Amount Enclosed $ _____________________________ Payment requested on or before Oct. 5, 2009 Mail reservation form with check or payment Information to: Gail’s Angels P.O. Box 110242 Nutley, NJ 07110 For directions to Valley Brook Golf Club visit their website at www.preaknesshills.org