Golf Registration Page 2013

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1st Annual Golf For Scholarships Tournament

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

City *

Will you take the bus from the Cricket Club? *

Yes please! No, thank you.

I will be purchasing the following : *

My Round - $200 A twosome - $400 A threesome - $600 A foursome - $800 Dinner Only - $50

Province *

Postal Code *

Player 2 *

Player 3 *

Player 4 *

Total Players taking provided transportion *

Do you have a Foursome Request *

Yes No, please put me with a team

Foursome Request (if applicable or different then above) *

I will pay by: *

Cheque - payable to Emmy Duff Scholarship Foundation Credit Card - Please call: Chris Chappell 416-580-5820

I would like to make an additional donation to the foundation: *

$50 $100 $250 $500 $1000 Other

If you selected Other (please specify) *

Comment *

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Recognizing the perseverance of students with Cancer