Fergie Jenkins Foundation Inc.
September Celebrity Charity Golf Classic Order Form
Type out all information, print page, and fax/mail this in!
Ordering before June 4th will confirm your placement and a $100.00 tax receipt will be mailed.
After June 4th, 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
Thurs. Sept. 18 - practice round free with Fri golf reg.   
Golf - Fri. Sept. 19 - Celebrity Event $250.00
Banquet only with celebrities 6:30 p.m. $100.00
Thurs. Wine and Cheese Event Only $25.00
   
Hole Sponsorship (per Hole) $250.00
TOTAL  -Prices quoted in Canadian Dollars includes Goods and Services Tax

SHIRT SIZE SMALL MEDIUM LARGE X-LARGE XX-LARGE
PROVIDE PRIZE YES NO
FLIGHT MORNING (11:00 AM) Shotgun start

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


Team Players
Name
Phone