Yarmouth Hospital Foundation - Jody Shelley Golf Fore Health

PO Box 7, Yarmouth,
B5A 4B1
Phone: 902-749-1669
Fax: 902 749 0748

Main: Gallery : Sponsors : Registration

REGISTRATION FORM
(Registration Deadline –April 27^th, 2012)

JODY SHELLEY’S GOLF FORE HEALTH TOURNAMENT
FRIDAY, JULY 6th, 2012
CLARE GOLF & COUNTRY CLUB
www.claregolf.ca

Company / Team Name:

Address:

Telephone:

Email:

Golf Registration: 4 Person Team

Captain:	Name:	Male Female
	Shirt Size:	XXL XL Large Medium Small
Player 1:	Name:	Male Female
	Shirt Size:	XXL XL Large Medium Small
Player 2:	Name:	Male Female
	Shirt Size:	XXL XL Large Medium Small
Player 3:	Name:	Male Female
	Shirt Size:	XXL XL Large Medium Small

Sponsorship level: (check one)

Platinum - $5000 Gold - $3500 Silver - $2500
Elite Hole - $1200 Team - $850

Payment required to guarantee entry

Registration form can be completed and forwarded on line or faxed to (902) 749-0748.
Download Printable Registration Form Here >
Payment can be made by cheque to the following address:

Yarmouth Hospital Foundation
P. O. Box 7
Yarmouth NS B5A 4B1

If you prefer to pay by Visa, Mastercard or Amex
Please call our office at (902) 749-1669 with your credit card information.


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