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Team Leader / Individual Golfer Details

First Name (no initials please):     

Last Name:     

Position / Title: 

Organization Name:

Mailing Address: 

City:     

Province: (2 Letter Code Only)

Postal Code/Zip Code: 

Phone (Bus.): (999.999.9999)       

* Fax:  (999.999.9999)       

Banquet Choice:

Handicap:

Shirt Size:

Email:

Food Allergies:

Other special needs to fully facilitate your inclusion in the event:

Donation Commitment

Contact Name:

Organization Name:

Mailing Address:

City:

Province:(2 Letter Code Only)

Postal Code/Zip Code:

Phone (Bus.): (999.999.9999)

Fax: (999.999.9999)        

Email:

Description of Donation (cash, silent auction item, services):

Value of Donation:

Charitable tax receipt desired (please contact office for restrictions)  

Sponsorship Commitment

Contact Name:

Organization Name:

Mailing Address:

City:

Province: (2 Letter Code Only)

Postal Code/Zip Code:

Phone (Bus.): (999.999.9999)

Fax: (999.999.9999)

Email:

Please indicate which of the following sponsorship options you would like to participate in:

 

Method of Payment

Credit Card

(You will be provided an opportunity to insert card details on the next screen)

Cheque

(You will be provided with mailing information on the next screen)n)

Purchase Order/Invoice

(Please provide PO Number/Information in the space provided)

Refund Policy: Accepted in writing up to June 8, 2008. A $25.00 administration fee will be assessed on all refunds. No refund is provided after June 8, 2008.  No on-site refunds.

Registration Fee: $250/golfer

($50 eligible for tax receipt)

Banquet Dinner: 6:30pm

(additional guest tickets available for $45 each)

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Information collected will be protected in compliance with Canada's Personal Information Protection and Electronic Documents Act, and the Freedom of Information and Privacy Protection Act. Some information collected may be shared with partners and allies in compliance with the above Acts. Please note that photographs taken of this event may be used for promotional purposes by the Recreation for Life Foundation, if you prefer not to be photographed, or for additional privacy information please contact us for details at 877.544.1747.

 

 
 

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