Fergie Jenkins Foundation Inc.
June Charity Golf Classic Order Form
Type out all information, print page, and fax/mail this in!
Ordering before March 1st will confirm your placement and a $50.00 tax receipt will be mailed.
After March 1st, entry will be opened to public & waiting list.

Criteria
Please Type/Print!
Name
Company
Address 1
Address 2
City
Province/State
Postal Code
Telephone
Fax

Payment For
Event Price Quantity Total
Golf $150.00
Hole Sponsorship (per Hole) $150.00
TOTAL (CDN)

SHIRT SIZE SMALL MEDIUM LARGE X-LARGE XX-LARGE
PROVIDE PRIZE YES NO
FLIGHT MORNING (8:00 AM) AFTERNOON (12:45 PM)

Method of Payment
(Cheques payable to Fergie Jenkins Foundation Inc.)
Card Number
Expiry Date
Signature


Team Players
Name
Phone