St. Thomas – Elgin Second Stage Housing

Registration Form

St. Thomas Golf and Country Club

Thursday, July 7, 2011

REGISTRATION FORM

Player 1:_________________________________________________________

Player 2:_________________________________________________________

Player 3:_________________________________________________________

Player 4:_________________________________________________________

Tournament Package of $155.00 each includes:

18 holes of golf, golf cart, a fabulous dinner,and a prize for every player!

$10 Pro-shop Gift Certificate

Play Own Ball or…. Best Ball

(Foursome Chooses- please circle your choice))

Please make your cheque payable to: St. Thomas–Elgin Second Stage Housing

and mail to:

Golf Tournament Committee

15 Golding Place

St. Thomas, ON N5R 6B6

To Pay by Credit Card:

Type of Card: Visa _____ MC _____

Card #: ________________________

Expiry Date: ___/ ____

Name of Card Holder: _______________________________

Card Billing Address: _______________________________

City, Prov. Postal Code: _____________________________

Telephone # of Billing Address: ( ) ______ – ______________

Signature of Card Holder:____________________________

If you or your company would like to be a corporate sponsor, sponsor a hole, or donate a prize(s) please indicate below

and a committee member will contact you.

“A” Sponsorship ($1600)______ “B” Sponsorship ($875)______

Sponsor a hole ($150),____, Prize(s)_____

Thank You!

For more information please call Ruth or Natasha at (519) 637-2288