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Sponsor
First Name:
Last Name:
Title:
Company:
Address 1:
City:
Address 2:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
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Postal Code:
Phone:
Ext:
Fax:
Email:
Donation
Amount:
Golf Course Hole - $300
Beat The Pro Contest - $300
Mens Longest Drive Sponsorship - $600
Ladies Longest Drive Sponsorship - $600
Closest to the pin - $600
Closest to the pin - $600
Cart Sponsorship - $750
I would like a charitable
receipt for my donation.
Payment Type:
Visa
Mastercard
Cheque
Credit card number:
Expiry Date:
01
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2012
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