Hudson Valley National Foundation Registration Form

Golf for Charity

July 20
Wykagyl Country Club

New Rochelle, NY
    September 21
Saint Andrew’s Golf Club

Hastings-on-Hudson, NY

Secure Online Registration Form

Please note that fields with an asterisk (*) are required.

 Foursome at all 2 Clubs (discounted) - $4,200
 Foursome at 1 Club - $2,200
 Individual Golfer at 1 club - $550

  Golfers Names: (No commas, please.)

Please check club(s):
 Wykagyl   Saint Andrew's 

I cannot attend or sponsor, but wish to be a Patron .00                                                                             


Please support the Foundation by sponsoring one of the following events
 Hole Sponsor - $500 (total for both outings)

# of Outings
    Golf Cart Sponsor at $750 per outing .00
    Lunch Sponsor at $750 per outing .00
    Refreshment Sponsor at $750 per outing .00
    Locker Room Sponsor at $750 per outing .00
    Hole-in-One Sponsor at $750 per outing .00
    Driving Range Sponsor at $750 per outing .00
    Pitching Contest Sponsor at $750 per outing .00
    Cocktail Party Sponsor at $1,000 per outing .00
    Dinner Sponsor at $1,250 per outing .00

Please check club(s):
 Wykagyl   Saint Andrew's 

Dinner tickets at $100 per person .00

Total amount $  .00

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*ZIP Code:  *Email: 
*Daytime Phone #:  Evening Phone #: 

Company Name (If applicable)  
Name on Sign (If applicable)  

    *Credit Card Type: 
*Credit Card #: 
*Exp. Date:  /

After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the Submit button will result in duplicate charges to your account.
An email confirmation will be sent to the email address you provided.


Hudson Valley National Foundation
21 Scarsdale Road • Yonkers, New York 10707
For additional information Email: or call (914) 768-6801

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