Indoor Golf Classic Registration Form

The Mid-Winter Indoor Classic Registration Form

March 20, 21, 22 2014
Golf Without Limits Indoor Golf Club & Academy
283 Northfield Drive, Waterloo ON
519-342-3904

To register a foursome or sponsor by snail mail or please click here for the registration form.
* Please note that if you submit your credit card, it will be processed by the Brain Injury Association of Waterloo-Wellington through PayPal.

Registration
Cost: $500.00 per foursome or
$125.00 per individual
$40 per person if attending dinner only
$300.00 per table of 8 attending dinner only

* In order to issue Charitable Receipts for the allowable portion of fee you must fill the information under Player 1. To arrange the foursomes please provide all information.

* Indicates required field

Player 1 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Player 2 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Player 3 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Player 4 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

If entering only one golfer please enter the names of your team members. *

Choose One *

Golfer/s Dinner Only

1st Choice of Tee Time *

2nd Choice of Tee Time *

Pay Now

Sponsorship Levels

We would like to support

* Indicates required field

Level (Choose One) *

FLAG Sponsor ($250) Auction/Raffle or Prize Item Sponsorship of a Foursome ($500)

Company Name *

Contact Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

If donating a prize, raffle or auction item what is the item. *

Value of Prize being donated for Business Receipt Purposes. *

Delivery of Prize *

We will mail it Pick up at above address We will deliver to the Opportunity Centre

Pay Now

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The Mid-Winter Indoor Classic Registration Form

Registration Cost: $500.00 per foursome or $125.00 per individual$40 per person if attending dinner only$300.00 per table of 8 attending dinner only

Sponsorship Levels

We would like to support

Registration
Cost: $500.00 per foursome or
$125.00 per individual
$40 per person if attending dinner only
$300.00 per table of 8 attending dinner only