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TheHellenicCommunity o

of O
Ottawa G
Golf T
Tournament
2012REGISTRATIONFORM

Friday S
Sept. 1
1 4th, 2
2012
11:30a.m.Registration1:00p.m.ShotGunStart

$175.00PERGOLFER(EarlyregistrationbyJuly31st,$150.00PERGOLFER)

Includeslunch,18holesofgolf(scramble),motorizedcart,prizes,competitions,dinnerandataxreceipt

forapproximately$50.

NAME:________________________________________________________________________________

ORGANIZATION:________________________________________________________________________

ADDRESS:_____________________________________________________________________________

CITY:_______________________________POSTALCODE:_____________________________

PHONE:_____________________________EMAIL:___________________________________

[]
Iamabletodonateaprizeforthesilentauction
[]
Iamasologolfer

[]
Iwillbegolfingwiththefollowingpeople:

NAME

ADDRESS
(street,city,postalcode)

PHONENUMBER

Iwillbepayingfor
thisgolfer(Y/N)

IHAVEINCLUDEDMYPAYMENTOF_____FOR#____PLAYER(S):

Date:___________________________________

[]Cheque

[]MasterCard

[]Visa

[]Amex

Amount$____________CardNo._______________________________ExpiryDate:____/_____

Nameasitappearsoncreditcard:__________________________________________

Signature:______________________________________________________________

PleasereturnthisformtoTheHellenicCommunityofOttawa,1315PrinceofWalesDrive,Ottawa,ONK2C1N2
Fax(613)2258545oremail:erin@hellenicottawa.ca.Tel:(613)2258016Ext221.

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