2019 Golf Tournament & Dinner

Registration form

Company name:

Name of delegate(s):
1.2.
3.4.
Address:

City:

Province:

Postal code:

Tel:

Email:

Member cost per golfer - $150
Non-member cost per golfer - $175
Register a foursome - $575

Gold - $350
Silver - $250
Bronze - $150

Please indicate which delegate the food restrictions apply:

Do you have any food restrictions? Vegetarian Vegan Gluten Free Dairy Free

Other dietary restrictions:

Credit Card

Cheques payable to CWPCA

Electronic Transfer

Subtotal:0.00$
Tax:0.00$
Total:0.00$

Name on card:

Credit card number:

Expiration:

3 digit CVV number (on back):