Tee Off for a Cause!

1. Tee Off for a Cause! 2012 Charity Golf Outing Friday, October 12, 2012 Hershey Country Club, West Course 1000 East Derry Rd • Hershey, PA 17033 Registration: 9:00 a.m. • Golf: 10:00 a.m. • Luncheon: 2:45 p.m. Scramble Format The Central Penn Risk Insurance Management Society invites you to participate in our 2012 Annual Golf Outing to benefit Kids’ Chance of Pennsylvania, Inc. and the Spencer Educational Foundation, Inc.. Proceeds benefit promising students in the pursuit and achievement of their goals for post-secondary education. Kids' Chance of Pennsylvania, Inc. provides financial support through scholarship grants to children of Pennsylvania workers who have been killed or seriously injured in a work–related accident resulting in financial need. Kids' Chance makes a significant difference in the lives of affected Pennsylvania families by helping eligible students. Spencer Educational Foundation, Inc. provides scholarships to students and educational grants to individuals pursuing careers in insurance and risk management. The foundation has awarded more than $4.5 million in scholarships since being established in 1979

2. Participation Packages (please select) _ Platinum (1 available)$1,500 Company logo on scorecard, Meal Sponsorship, (1) Foursomes Golf & Lunch, (1) Tee Sponsorship _ Gold $1,250 Meal Sponsorship, (1) Foursome Golf & Lunch, (1) Tee Sponsorship _ Silver $950 (1) Foursome Golf & Lunch, (1) Tee Sponsorship _ Bronze $500 (1) Golf & Lunch, (1) Tee Sponsorship _ Individual Golfer & Lunch $150 _ Tee Sponsorship $350 _ Beverage Sponsorship (2 available) $250 Company logo on beverage cart _ Lunch Only $35 Contests Lowest Scores Putting Longest/ Straightest Drives Post-event Raffle Closest to the Pin Registration Form Deadline: Friday, September 28, 2012 Golfers • Captain______________________________ • ____________________________________ • ____________________________________ • ____________________________________ Additional sponsorships opportunities are available and we welcome prize donations for the raffle. Please contact Megan Marshall (meganmarshall@hersheys.com) for more information. Proper golf attire required: collared shirts, non-penetrating spikes and no denim. ** Copy brochure for additional foursomes ____ I will not be able to attend, but please accept my cash donation of $______ in support of Kids’ Chance of Pennsylvania, Inc. Thank you for your support. Please send your check, made payable to Central Penn RIMS, to: Ryan McGuinness, M.E.D., ARM, Rite Aid Corporation, P. O. Box 3165, Harrisburg, PA 17105 You may also email (rmcguinness@riteaid.com) or fax (717-975-3761) your registration forms with payment to follow in the mail. Name/Title: ___________________________ Title: ___________________________ Company: Address: _____________________________________________________________________________ City: ______________________________________ ST___________ Zip: _____________________ Phone: (_ __)__________________________Email: _________________________________________ Central Penn RIMS is a registered, tax-exempt 501(c)(3) non-profit organization and therefore all contributions are tax deductible.