2ND ANNUAL MIKE DISCIPIO
BENEFIT FOOTBALL TOURNAMENT
AUGUST 23RD & 24TH, 2008
*SPONSOR FORM*
ORGANIZED BY THE ALBANY, NY CANNONEERS, THIS TOURNAMENT IS BEING HELD TO PROVIDE FINANCIAL SUPPORT FOR OUR TEAMMATE, MIKE DISCIPIO, WHO WAS PARALYZED IN A FREAK SWIMMING ACCIDENT. PROCEEDS FROM THIS EVENT WILL BE DIRECTLY DISTRIBUTED TO MIKE AND HIS FAMILY.
HELP SUPPORT STEM CELL RESEARCH BY VISITING MIKE'S WEBSITE AT: WWW.SCRNY.ORG
TOURNAMENT INFORMATION:
LOCATION: NOTT ROAD ATHLETIC FIELDS - GUILDERLAND, NY
STYLES OF PLAY: 9-MAN INELIGIBLE / 8-MAN FULL RUSH / CO-ED DIVISIONS
POOL PLAY FORMAT
PRIZES: CASH PAYOUT
CONTACT INFORMATION:
JIM SHELLENBERGER
(518) 376-9244
UOFMCANES1@AOL.COM
Mike Discipio
COMPANY NAME: (if applicable) ___________________________________________________________________
CONTACT NAME: ___________________________________________________________________
CITY/STATE: ___________________________________________________________________
CONTACT PHONE: _______________________________________________________________
CONTACT E-MAIL: ______________________________________________________________
AMOUNT PLEDGED: $_______________
PLEASE MAKE CHECKS/MONEY ORDERS PAYABLE TO:
JIM SHELLENBERGER
PLEASE MAIL FORM AND PAYMENT TO:
JIM SHELLENBERGER
25 HARRIET STREET
ALBANY, NY 12205