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Name:
*
Company Name:
Email:
*
Address:
Phone:
Fax:
Individual Golf package(s):
x $175.00
Dinner Only:
x $50.00
Sponsorship Level:
(Prices include GST. No GST on sponsorships.)
Prize/Auction Item to be donated:
Payment Method
Payment Type:
PayPal
Cheque
(If you prefer to pay by credit card and not online, please call us at (905) 649-2800 x 121 to provide us with credit card information.)
Foursome Information
1. Name:
Email:
2. Name:
Email:
3. Name:
Email:
4. Name:
Email: