1. 2015 ASIS Rochester New York CHAPTER #022 Raffle / Prize Donor Form Name:_______________________ Company:____________________ Address:_____________________ City:________State:____ Zip:____ Phone:_______________________ Email:_______________________ 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: 585-233-6630 Email: Kelly.Kehoe@alliedbarton.com 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 Start @ 9:30am Salmon Creek Country Club 355 Washington Street Spencerport, NY 14559

2. Registration Reply Form Mission: 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 Start @ 9:30am Salmon Creek Country Club 355 Washington Street Spencerport, NY 14559 Name:________________________________ Company:_____________________________ Address:______________________________ City:______________State:____ Zip:_______ Phone:_______________________________ Email:________________________________ Members of foursome are ($85 per player): 1. ___________________________________ 2. ___________________________________ 3. ___________________________________ 4. ___________________________________ Register online at: www.asisrochester.org or Make Checks Payable to : ASIS Rochester # 022 “Golf Outing” in memo line Mail Payments to: Harry Noel 976 Danby Dr. Webster, NY 14580 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 Sign at Hole Company Logo on Banner displayed at registration desk and dinner. ____ Golf Foursome (after 3/31/15) $340.00 ($300.00 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 585-598-3659 barb.wood@razberi.net