Contact Name: Company: Address: Phone Number: Email: *Golf ...
Quilchena Golf & Country Club, Richmond BC Registration: 11am, Lunch: 11:30am-1pm, Opening Ceremonies: 1pm Shotgun Start 1:30pm, Texas Scramble Thursday, May 18th, 2017
Contact Name: Company: Address: Phone Number:
Email:
*Golf Registration Includes Golf, BBQ Lunch, Power Golf Cart and Buffet Dinner* Foursome Registration
$900 x
=$
Single Registration
$225 x
=$
$75 x
=$
The 19th Hole**
$525 x
=$
Single Buffet Dinner Only* *arrive at 6pm, dinner at 7pm **dinner only package for 8
Total Amount Due $ (Tax Receipt issued upon request according to CRA guidelines)
Golfer Team Info: #1 Email: #2 Email: #3 Email: #4 Email: No, I cannot play but I wish to make a donation to Children’s Organ Transplant Society $ I would like to pay via: Cheque (please enclose with a copy of this form)
Visa
MasterCard
Name on card if different from above: Card # Expiry: / Please register online @ www.childrensots.org/golf or fax this registration request to (604) 271-7715 or email [email protected] Cheques payable to Children’s Organ Transplant Society, 7671 Acheson Road, Richmond BC,V6Y1N1
Contact Name: Company: Address: Phone Number:
Email:
*Golf Registration Includes Golf, BBQ Lunch, Power Golf Cart and Buffet Dinner* Foursome Registration
$900 x
=$
Single Registration
$225 x
=$
$75 x
=$
The 19th Hole**
$525 x
=$
Single Buffet Dinner Only* *arrive at 6pm, dinner at 7pm **dinner only package for 8
Total Amount Due $ (Tax Receipt issued upon request according to CRA guidelines)
Golfer Team Info: #1 Email: #2 Email: #3 Email: #4 Email: No, I cannot play but I wish to make a donation to Children’s Organ Transplant Society $ I would like to pay via: Cheque (please enclose with a copy of this form)
Visa
MasterCard
Name on card if different from above: Card # Expiry: / Please register online @ www.childrensots.org/golf or fax this registration request to (604) 271-7715 or email [email protected] Cheques payable to Children’s Organ Transplant Society, 7671 Acheson Road, Richmond BC,V6Y1N1
