30th Annual Golf Outing MONDAY, SEPTEMBER 29, 2025 Please enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastDaytime Phone *Email *EmailConfirm EmailBilling Address *Address Line 1CityNew YorkAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOuting InformationNumber Attending Golf Outing, Cocktails, Hors d`Oeuvres & Appetizers01234$450.00 Per Person (If you have more than one foursome. Please register each foursome separately.)List Other Golfers in Group:Golfer 1 (Full Name) *Golfer 1 (Email)Golfer 2 (Full Name) *Golfer 2 (Email)Golfer 3 (Full Name) *Golfer 3 (Email)Golfer 4 (Full Name) *Golfer 4 (Email)Number Attending Cocktail Hour, Hors d`Oeuvres & Appetizers Only012345678910$100.00 Per PersonPLATINUM LEVEL SPONSOR:Yes $5,000Includes two paid foursomes, hole sponsor, and sign on display at registrationGOLD LEVEL SPONSOR:Yes $3,000Includes paid foursome, hole sponsor & sign on display during cocktail hourSILVER LEVEL SPONSOR:Yes $1,500.00Includes paid twosome, hole sponsor & sign on display at rangeCOMPANY, INDIVIDUAL OR FAMILY TEE SPONSORYes $200.00Sign on display at TeeSponsorship to Read *Unfortunately, I cannot attend but please accept my contribution of:Additional ContributionGrand Total$0.00Select Payment Option *Paypal (Credit Card)Pay By CheckPlease make check payable to “The Jack DeVito Foundation” and mail with this form to: The Jack DeVito Foundation 334 Underhill Ave., Suite 3D Yorktown Hgts., NY 10598If you have any questions, please contact us at 914-393-1748 or email [email protected] The Jack DeVito Foundation is a not-for-profit (501-C3) corporation Thank you for supporting the youth in our communities***Additional opportunities are available to contribute through raffles, contests & auction items***EmailSubmit