* Required Fields for online registrations.

RSVP
Attending Declined

Request For
0 1 2 3 4 * Number of Players (Required)
0 1 2 3 4   Number of Dinners & Silent Auction Only

Paying For
0 1 Player $195 2 Players $390 3 Players $585 4 Players $780 * Number of Players (Required)
0 1 Dinner $60 2 Dinners $120 3 Dinners $180 4 Dinners $240   Number of Dinners & Silent Auction Only

* Payment method will be
Company Cheque Master Card Personal Cheque Visa None  
* Payment Amount

* Your Full Name

* E-mail Address

* Re-enter your E-mail Address

* First Name

*.Last Name

* Prefix Dr. Mr. Mrs. Ms. None * Gender Male Female

Company Name

Title

Company Street

Company City

Company Prov. (abbreviation)

Company Postal Code

Cell Phone

Home Street

Home City

Home Province (abbreviation)

Postal Code

* Required Fields for online registrations.
Please do not add any of your personal contact information below.

Player Two

* First Name
 
*.Last Name

* Prefix Dr. Mr. Mrs. Ms. None * Gender Male Female

* E-mail Address

Company Name

Title

Company Street

Company City

Company Prov. (abbreviation)

Company Postal Code

Cell Phone

Home Street

Home City

Home Province (abbreviation)

Home Postal Code

Home Telephone

* Required Fields for online registrations.
Please do not add any of your personal contact information below.

Player Three

* First Name
 
*.Last Name

 * Prefix Dr. Mr. Mrs. Ms. None * Gender Male Female

* E-mail Address

Company Name

Title

Company Street

Company City

Company Prov. (abbreviation)

Company Postal Code

Cell Phone


Home Street

Home City

Home Province (abbreviation)

Home Postal Code

Home Telephone



* Required Fields for online registrations.
Please do not add any of your personal contact information below.

Player Four

* First Name
 
*.Last Name

* Prefix Dr. Mr. Mrs. Ms. None * Gender Male Female

* E-mail Address

Company Name

Title

Company Street

Company City

Company Prov. (abbreviation)

Company Postal Code

Cell Phone


Home Street

Home City

Home Province (abbreviation)

Home Postal Code

Home Telephone

Sponsorship Levels:
Please select from the below list If you are interested or have
already purchased a sponsor package.
Gold Sponsorship Silver Sponsorship Bronze Sponsorship Hole Sponsorship Select Sponsorship
I am interested in above sponsorship
I have purchased the above sponsorship

I am interested in donating a prize or auction item. (Please Specify Item)

Comments: Please indicate if there are golfers you wish to play with that are not on this form or include any other comment you may have.