June 14, 2012 Registration Form

Contact information:

Company name:
Contact person:
Address:
Phone:	( )
Fax:	( )
Email:

 

Sign up for Sponsorships and Golf:

• Major Sponsor info ($15,000), includes 4 golfers
• Tournament Sponsor info ($10,000), includes 2 golfers  
• Event Sponsor info ($5,000)  
• Hole Sponsor info
  Tee ($1,000) Green ($1,000) Both ($1,900)  
• Golf (subject to availability) info
  Single ($750) Two golfers ($1,500) Foursome ($3,000)  
• Attend dinner only ($150)

Total:

 

Payment options:

For payment by Visa or Mastercard please call 905.668.7711, and ask for Virginia MacLeod.

Please make cheques payable to: Chairman's Charity Classic
Please mail cheques to:

Virginia MacLeod, Regional Municipality of Durham
605 Rossland Road East
Whitby, ON
L1N 6A3