The Samuel Staten, Sr. Charitable Trust – 2025 Golf Outing
Online Registration

The deadline for the Ad Book is May 1, 2025.
After May 1st, please call 267-757-0720.

NOTE: We use cookies during the registration and payment process. Please make sure that cookies are enabled in your browser.


 Contact Information:
First Name:
Last Name:
Company:
Address:
City:
State:
Zip Code:
Day Phone:
E-mail:

 Sponsorships and Other Participation:
Golf Sponsorship (Please select all that apply)
Sponsor Choices:
Corporate Sponsor (8 golfers)
Includes: Recognition on all event signage and publicity, Banner at registration, Signage at shotgun start & banquet, Flagstick with frame presented at banquet, Tee Sign on course, and Full Page Ad in Corporate Sponsor Section of Ad Book.		 $5,000
Friends of the Council (4 golfers)
Includes: Recognition on all event signage and publicity, Banner at registration, Signage at shotgun start and banquet, Tee Sign on course, and Full Page Ad in Friend of the Council Section of Ad Book. 		$3,000
Flag Stick Sponsor
(Limited Quantity Available)
Flagstick on course awarded framed at banquet, Half Page Ad in Flag Stick Section of Ad Book.		 $1,500
Qa’id Staten Memorial Scholarship Fund Ad Book
Full Page Ad (4.5" wide x 7.5" tall, Black & White) $500
Half Page Ad (4.5" wide x 3.75" tall, Black & White) $250
Sponsorships Total: $

Other Participation:
Please enter quantities only, the prices will be computed for you
Item Quantity Total
Tee Sign Only: $1,000
Includes Tee Sign on One Hole and Listing of sponsor in the Ad Book		 $
Single Golfer: $250 $
Dinner Only: $150 per person $
Sorry I cannot attend, but would like to make a contribution to the Qa’id Staten Memorial Scholarship Fund: $
Other Participation Total: $
Please calculate again if you made changes »  
Grand Total: $

 Names: Please enter golfer names or company name
 
Corporate Sponsor = 8 Golfers
Friends Sponsor = 4 Golfers
Flagstick = Company Name
Notes/Comments (optional)

 Attach Your Ad

You can send your artwork for the Qa'id Staten Memorial Scolarship Ad Book by uploading it via this form, or you can e-mail your artwork to us at StatenCharitable@gmail.com.

Click the "browse" button below to locate the file you wish to upload on your computer. Only Microsoft Word (.doc and .docx) and .pdf files less than 10 megabytes may be uploaded. The file will be uploaded once you submit the form. The name of the Microsoft Word or Adobe PDF file that contains your artwork should not include any spaces (e.g, mycompany_artwork.docx).

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Since 1999, the Samuel Staten, Sr. Charitable Trust has raised over $3.4 million for local charities, showcasing the positive impact of organized labor in our community!