First Name:
*
Last Name:
*
Address 1:
*
Address 2:
City:
*
Province
*
Postal Code:
*
Phone:
*
Email:
*
Registration For:
*
Select...
Golf & Dinner $ 175
Dinner Only $ 60
I'll Pay with:
*
Select...
Cash
Cheque
Money Order
VISA (we'll call you for CC#)
MasterCard (we'll call you for CC#)
e-transfer to info@KofC9296.org
Your Comments:
Security Question:
Sum of 5 + 3 =
Please list the golfers in your foursome/group:
First Name Last Name
First Name Last Name
First Name Last Name
First Name Last Name