Chairmen's Open Golf Tournament Registration Sponsor Form

							        New York Association of Convenience Stores &
      Retailers of New York Workers Compensation Trust
cordially invite you to
NYACS Day at the Races
WEDNESDAY, AUGUST 6, 2008
Benefiting the NYACS Scholarship Foundation
Saratoga Race Course, Saratoga Springs NY
Lunch Begins 12 noon  Post Time 1 pm

Store or Company ____________________________________________________

Address ___________________________________________________________

Contact Person _________________________________ Phone _______________

We wish to register the following individuals: (Limited to first 50 paid registrations)

1.) _____________________________                                  3.) _____________________________

2.) _____________________________                                  4.) _____________________________

Registration Fee @ $125.00 per person ............................................................. $ ___________
(Entire amount is tax deductible as a charitable contribution)
  Fee Includes:                                 Not Included:
   "At the Rail" Admission                       Parking
   Executive Buffet                              Cocktails (Cash Bar)
   Unlimited Soft Drinks                         Betting Money!

We can't attend, but wish to donate this amount to NYACS
Scholarship Foundation (100% deductible as charitable contribution) .................... $ ___________

METHOD OF PAYMENT:                                                                                       Dress Code

  Check Enclosed                                                                                   "Neat Casual Attire"
                                                                                                     (track management's
  MasterCard  Visa  American Express  Discover                                                 discretion to determine)
                                                                                                     No jeans or shorts
Card # ____________________________ Expiration ______                                               Gentlemen: Collared
                                                                                                      shirts required
Signature of Card Holder: _______________________________

 For a list of selected Capital District hotels to contact for rates and availability, visit www.nyacs.org or call 800-336-9227

                        Thank you! Please return form to:
                    NYACS SCHOLARSHIP FOUNDATION
  Tax ID #14-1819287 130 Washington Avenue, Albany NY 12210 Fax: 518-432-7400