1. 2015 ASIS Rochester New York CHAPTER #022
Raffle / Prize Donor Form
Name:_______________________
Company:____________________
Address:_____________________
City:________State:____ Zip:____
Phone:_______________________
_______________________
Item Description:
_____________________________
Item Value: $_______
Is this item a certificate? Yes No
Can you share with us any further
details or instructions about your
donation?
Please contact Kelly Kehoe for further
details in regards to donations:
Phone:
Donations can also be mailed to Kelly at:
550 Brunswick Lane
Victor, NY 14564
Annual Golf Outing at
Salmon Creek Country Club
Friday August 7, 2015 Shotgun 9:30am Salmon Creek Country Club 355 Washington Street Spencerport, NY 14559

2. Registration Reply Form
Mission:
Sponsorship Information
___ Corporate Sponsor $500.00
Golf Foursome
Sign at Hole
Company Logo on Banner displayed at registration desk and dinner.
____ Hole Sponsor $250.00
____ Golf Foursome(after 3/31/15) $340.00
($ before 4/1/2015)
____ Individual Golfer after 3/31/15) $85.00
($75.00 before 4/1/2015)
____ Dinner only Contribution $30.00
____ Reserve Dinner for ____ guest(s)
____ Sorry I cannot attend, however, I wish to make a donation of ______
For Additional 
Information Please Contact:
Barb Wood
Registration Reply Form
Throughout the past 23 years, the Rochester
ASIS chapter has awarded over 100
scholarships to deserving college students,
returning veterans, and ASIS members, who
were taking courses in Criminal Justice, Law
Enforcement or Security. With the increase in
Terror attacks, workplace violence, and violent
street crime, the need for advanced training for
Security/Law Enforcement personnel is at an all-
time high.
Your participation will make it possible to
continue this outstanding and generous effort,
with 100% of the proceeds awarded to
deserving applicants of the ASIS Scholarship
Fund. In addition, ASIS International will match
the scholarships up to $500. Rochester ASIS is
partnering with Rochester Area Crime Stoppers
this year in support of their efforts to offer
rewards for tips leading to arrests for the
ever increasing number of unsolved crimes in
our community and special support for the
Rochester area K-9 program. Please join us in
making this Scholarship Golf Tournament a
tremendous success.
Format:
18 Hole Scramble
Entry:
 $75.00/$85.00 registration fee includes: driving range, green fees, cart, lunch, buffet dinner & prizes.
Schedule:
Friday August 7, 2015
Shotgun 9:30am
Salmon Creek Country Club
355 Washington Street
Spencerport, NY 14559
Name:________________________________
Company:_____________________________
Address:______________________________
City:______________State:____ Zip:_______
Phone:_______________________________
________________________________
Members of foursome are ($85 per player):
1. ___________________________________
2. ___________________________________
3. ___________________________________
4. ___________________________________
Register online at: or
Make Checks Payable to :
ASIS Rochester # 022
“Golf Outing” in memo line
Mail Payments to:
Harry Noel  
976 Danby Dr.
Webster, NY 14580