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Tony Stacey Centre Golf Tournament 2012 REGISTRATION

Wednesday June 6th, 2012
Venue: Deer Creek-Glen Cedars
Map and Directions: www.golfglencedars.com

REGISTER AND MAKE PAYMENT WITH

Please fill in the information below for the players, once completed please click on the Submit button below and your infomation will be sent to The Tony Stacey Centre. After you check your information scroll down to the bottom of the screen and click on the link PAYPAL, you will then be redirected to a PAYPAL button where you will select Individual or Foursome price.

Individual Registrations (please check if registering 1-3 players) $130 each
Individual Foursome Registration (if you are part of a foursome) $120ea
Foursome Registration $480

PLAYER ONE INFORMATION (*Required)
NAME*:
BILLING ADDRESS*:
CITY*:
PROVINCE*:
POSTAL CODE*:
E-MAIL*:
TELEPHONE (home)*:
TELEPHONE (work/cell):
FAX:

PLAYER TWO INFORMATION
NAME:
BILLING ADDRESS:
CITY:
PROVINCE:
POSTAL CODE:
E-MAIL:
TELEPHONE (home):
TELEPHONE (work/cell):
FAX:

PLAYER THREE INFORMATION
NAME:
BILLING ADDRESS:
CITY:
PROVINCE:
POSTAL CODE:
E-MAIL:
TELEPHONE (home):
TELEPHONE (work/cell):
FAX:

PLAYER FOUR INFORMATION
NAME:
BILLING ADDRESS:
CITY:
PROVINCE:
POSTAL CODE:
E-MAIL:
TELEPHONE (home):
TELEPHONE (work/cell):
FAX:

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