2nd Annual Keith Bernacki Memorial Golf Outing

KEITH EDWARD BERNACKI was born May 11, 1977 and died on February 22, 2011 after a long and courageous battle with cancer. He is survived by his wife, Katie, their son Will, and a host of family and friends who loved and admired Keith dearly. Keith was truly a great person, family man, and friend to many of us. He was also an influential teacher and coach in his professional career in the Birmingham community. To celebrate and honor Keiths spirit an d legacy, were hosting a charity fundraiser golf outing again this year. The initial intent of this event is to raise money for an education fund (high school & college) for Will. Once we reach our fundraising goals for education, we see this annual event as a great platform to raise money for othe r important and meaningful causes like cancer research and a scholarship in Keiths name .

Event Details: Date: Friday, August 16, 2013 Location: Coyote Golf Club in New Hudson, MI www.coyotegolfclub.com Registration: 11:00AM Shotgun Start: 12:00PM Your Day Includes: o 18 Holes of Championship Golf (includes range & cart) o Special Gift Bag o Refreshments Throughout the Round o Lunch & Dinner Provided o Fantastic Auction Items

2 nd Annual Keith Bernacki Memorial Golf Outing Registration Form $150 per Golfer $500 per Foursome

Please make checks payable to Katie Bernacki Registration Forms & Checks can be mailed to:
Richard Maas 28588 Northwestern Highway, Suite 425 Southfield, MI 48034

*Tax deductions available through Brother Rice H. S. Please contact Richard @ (248)223-1910 for details. Registration Form: Name ______________________________________________________________ _________________________
Foursome Request YES________________ NO_________________

Golfer #1_________________________________________Golfer #2_________________________________ Golfer #3_________________________________________Golfer #4_________________________________

Company __________________________________________________________ __________________________ Address ___________________________________________________________ __________________________ City _________________________________ State ____ Zip _ _________________________________________ Phone _______________________________ ____Email ______________________________________________

Sponsorship& Donation Opportunities: Individual Hole Sponsorship

Bronze Donation Silver Donation Gold Donation Platinum Donation -

$150 (your name, business name, contact information)

$250 $500 $750 $1000

Donation Total Enclosed

(I am unable to attend this years event, but would like to make a donation of $________________) (I would like to donate a promotional item for the golfers_______________________________________)

***Please contact Jon Egan for Sponsorship Opportunities at 773 -519-1616 or jon.egan@emc.com PLEASE RSVP by Friday, August 2nd by submitting your registration form via mail with a check Thank you very much. We look forward to seeing you at this worthwhile event! Sincerely, Jon Egan Event Co-Chair 773-519-1616 Jon.egan@emc.com