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The Greater Long Island Dental Meeting
1st ANNUAL GLIDM GOLF OUTING
April 21, 2005

REGISTRATION FORM (PDF FORMAT)

Holdbrook Country Club, Holbrook, New York
(South of Exit 61 on LIE)
Telephone 631.585.4433
In case of inclement weather contact the Holbrook Country Club directly.

Golf Sponsorship
GET A HOLE IN ONE AND WIN A JAGUAR


From Jaguar of Great Neck
New York's Largest ... America's First

REGISTRATION FEES

Because there are two components to this year’s Meeting, we offer dentists three Registration Options:

MEETING ONLY - Courses Tuesday afternoon, Wednesday and Wednesday evening
(except for CPR, Infection Control, & Risk
Management, each with a $75 surcharge):
• ADA Members - $150
• NON-ADA Members - $175

GOLF OUTING ONLY - $155

MEETING & GOLF OUTING -
• ADA Members - $275
• NON-ADA Members - $ 300

AWARDS * PRIZES * 50/50

Your Registration Fee Includes the following:

Full Breakfast Buffet
Driving Range
18 Holes of Golf
Green & Golf Cart Fees
Buffet Lunch

Golf Schedule
Registration 7:00 am
Driving Range 7:30 am
Full Breakfast Buffet 7:30 am
Start 9:00 am
Awards, Lunch & Raffles 3:00 pm

REGISTRATION FORM (PDF FORMAT)

We thank you for your support of our First Annual Golf Outing. We look forward to a wonderful day of
building friendships and a great game of golf!