Please Please fill out the form below to register online for 
The 2nd Annual CT Lupus Charity Golf Classic 
in Memory of Annmarie Cocozza.

REGISTER & PAY BY CHECK

Please click the form below to fill out and send with your check. Thank you.

REGISTRATION ONLINE

Please click the button below to register and pay online via our secured credit card processing. Thank you.

Individual 
$150

Foursome 
$600

Gold Sponsor 
$1,500

Silver Sponsor
$1,000

Bronze Sponsor 
$750

Hole Sponsor 
$250

Dinner Guest
$50

CONTRIBUTION LEVELS

Individual $ 150

Foursome $ 600

Gold Sponsor $1,500
(Foursome + Full Recognition: Banner, Website, 1/2 Page Ad in Newsletter + Hole Sponsor)

Silver Sponsor $1,000
(Foursome + Website, 1/4 Ad in Newsletter + Hole)

Bronze Sponsor $ 750
(Foursome + Hole Sponsor)

Hole Sponsor $ 250

Dinner Guest $ 50