ROLEX WATCH

for Hole-in-One
on Designated Hole Longest drive contest Men Longest drive contest - Women Closest-to-hole contest

PLAYER REGISTRATION ***Special Price*** $125 Registration Fee (per player if paid by April 30th, 2013) After April 30th- $135 per player
Registration includes: Golf Greens Fees Continental Breakfast and Lunch Golf Cart (shared with another player)

DONATION FORM
I hereby donate to Saint Louis University for Lupus and Juvenile Arthritis research the items described below, to be used for the 19th Annual Lupus and Juvenile Arthritis Golf Tournament. Name/Company___________________________ Address: ________________________________ City:____________ State:____ Zip: __________ Phone: __________________________________ E-mail: ____________________________

Raffles Attendance Prizes Silent and Live Auctions

Systemic Lupus Erythematosus (SLE) is a chronic inflammatory disease that can affect various parts of the body, especially the skin, joints, blood, kidneys, lungs, heart, nervous system, and/or other body organs or systems. SLE is an autoimmune disease that causes the person to make proteins against their own tissues. SLE affects 1 out of every 185 Americans and can be difficult to diagnose, as symptoms come and go and mimic many other illnesses. SLE ranges from mild to life threatening. It is the most common systemic illness of African-American females and the most common autoimmune disease in all young females. Saint Louis University has the largest SLE population in the Midwest. The Rheumatology Division has ongoing research protocols in SLE and has published numerous papers in this area. Juvenile Idiopathic Arthritis (JIA) is the leading cause of arthritis in children affecting over 200,000 in the United States. Saint Louis University is home to the 9th largest Pediatric Rheumatology clinic in the country, serving over 2,000 children in the region. The Pediatric Rheumatology clinic follows almost 200 children with JIA. The Division has published over 100 papers on JIA and its laboratory parameters.
To be assured of a place, it is advisable to return paid entry by April 30th, 2013 Player Name Phone Number

Description of item(s) and retail value: ________________________________________ ________________________________________ ________________________________________

____________________________________ ____________________________________ ____________________________________ ____________________________________

Name, address, and telephone number of Captain __________________________________________ __________________________________________

For more information: John E. Fischer (314) 392-6802

___ Please assign me to a foursome

Make Checks Payable to: SLU Lupus/JIA Research Mail to: Division of Rheumatology 1402 S. Grand Blvd. Rm. 213A Doisy Hall St. Louis, MO 63104

TEE BOX SPONSOR

(Minimum $500.00)

19th Annual Golf for Lupus and Juvenile Arthritis Tournament

Benefiting the Saint Louis University Division of Rheumatologys Lupus and Juvenile Arthritis Research under the Direction of

Donation includes one (1) free playing registration when part of a foursome with three other paid reservations. Payment must be confirmed no later than April 30, 2013.
The tee box sponsor sign prominently displays your company/organization name. The sign may be obtained at the end of play.

Dr. Terry L. Moore Saturday May 11th, 2013 7:15 am Shotgun Start
Norman K. Probstein Golf Course Forest Park

ORGANIZATION NAME
___________________________________

Contact Name & Address:

__________________________________ __________________________________ Phone: ____________________________ Fax: ______________________________

E-mail: ___________________________

Tournament Details
Norman K. Probstein Golf Course Forest Park- St. Louis, MO (314) 367-1337 (Golf Course #) 6:15-7:00 AM - Sign-up/Breakfast 7:15 AM - Shotgun Start Casual Dress-Collared ShirtsNo cut offs, no T-shirts

Honorary Chair John Pertzborn Co-Anchor, Fox 2 News