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Register for the 2026 Samaritan Center Golf Outing

Manasquan River Golf Club, Brielle, New Jersey

IF PAYING BY CHECK- WRITE 'CHECK TO CENTER' in DISCOUNT CODE

Package Name	Amount	Subtotal

Platinum Sponsor (8 included)	$10,000.00	$0.00



Gold Sponsor (4 included)	$5,000.00	$0.00



Golf Foursome (4 included)	$2,000.00	$0.00



Individual Golfer	$500.00	$0.00



19th Hole Cocktails & Dinner	$150.00	$0.00



Silver Sponsor	$2,500.00	$0.00



Bronze Sponsor	$2,000.00	$0.00



Course Cart/Beverages Sponsor	$1,500.00	$0.00



Driving Range Sponsor	$1,000.00	$0.00



Putting Green Contest Sponsor	$500.00	$0.00



Tee Sponsor	$350.00	$0.00



Donation $1000	$1,000.00	$0.00



Donation $500	$500.00	$0.00



Donation $250	$250.00	$0.00



Donation $100	$100.00	$0.00

Registration opens: Wednesday, August 5, 2026

Registration closes: Monday, September 28, 2026

Online Convenience Fee:

4.05%

Total:

$0.00

Discount Code:
(displayed on Confirmation Page)

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event Sam Golf 2026.

I authorize The Samaritan Center at the Jersey Shore to use the credit card entered on the submission page at event Sam Golf 2026. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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If paying by check, please use CHECK TO CENTER in the Discount Code

Mail payment to: The Samaritan Center at the Jersey Shore, 36 South Street, Manasquan, NJ 08736

Or, stop by during business hours and drop the check off

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