Name__________________________ E-mail Address__________________________

Home Address___________________________________________________________

If desired, who would you like to play golf with:

1._________________________________ 2.________________________________

3._________________________________ 4._________________________________

Golf (CART,GREEN FEES,PRIZES) $40 X_____ = $_______

Buffet (BURGERS, DOGS, SALAD, WINGS AT TON’S) $10 X_____ = $_______

Hole Sponsorship (OPTIONAL) $50 X_____ = $_______

(Name @ Each Hole)_____________________________________

Stick Fund Donation (100% PARTICIPATION IS REQUESTED) = $________

TOTAL ENCLOSED $_________

Make Checks Payable To: SUNY POTSDAM LACROSSE


Mail to:

Rick Berkman
Men’s Lacrosse
Maxcy Hall—SUNY Potsdam
Potsdam, NY 13676

***If you know of any other alumni who we may have forgotten or have no address for please let us know below.***

Name:____________________________ E-mail:_____________________________
Address:______________________________________________________________

Name:_____________________________ E-mail:____________________________
Address:_______________________________________________________________

Name:_____________________________ E-mail:_____________________________
Address:_______________________________________________________________