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2009 Golf Tournament Registration
Use the form below to register online using Visa, MasterCard, American Express or PayPal. If you wish to mail or fax in your registration, please use this
printable registration form
.
* Represents a required field.
*Title
Mr
Ms
*First Name
*Last Name
*Company
*Address
Address 2
*City
*Province/State
-- Other/Not Listed --
-- CANADA --
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Nova Scotia (NS)
Northwest Territories (NT)
Nunavut (NU)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon (YT)
-- U.S. --
Alaska (AK)
Alabama (AL)
Arkansas (AR)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
District of Columbia (DC)
Delaware (DE)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Iowa (IA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Massachusetts (MA)
Maryland (MD)
Maine (ME)
Michigan (MI)
Minnesota (MN)
Missouri (MO)
Mississippi (MS)
Montana (MT)
North Carolina (NC)
North Dakota (ND)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
Nevada (NV)
New York (NY)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Virginia (VA)
Vermont (VT)
Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
*Postal Code
*Phone Number
Fax Number
*Email
Golf Package
$200.00 X
people.
Advise us if you have any food allergies or require vegetarian meal plans
Prices
do not
include GST