8^th Annual Golf4Yuri Memorial Tournament Registration Form
Saturday May 14, 2011
Caledon Golf and Country Club

Individual Registration (Golf, cart, dinner) - $140.00
If you are part of a foursome, please list additional team members below.
THE FOURSOME CANNOT BE CONFIRMED BEFORE ALL TEAM MEMBERS HAVE PAID.Team Registration (Foursome) - $560.00
Dinner Registration Only - $40.00

Hole Sponsor - $200.00

Sponsor packages below include one foursome (if not playing subtract $500)

Gold Sponsor - Signage on either tee #1, #9 or #18 - $1,000.00
Sponsor Registration Handouts - $1,600.00
Sponsor Golf Carts - $1,400.00
Sponsor Dinner - $1,200.00
Sponsor Dessert - $900.00
I would like to make a charitable donation in the amount of $

A charitable donation receipt will be issued for donations portion of packages.
Sorry we are not able to issue receipts for golf registrations & dinner
Please check the box if you require a receipt and include your full name and mailing address.

Payment Method

Visa
Master Card
Amex

Name on Card
Authorized Payment Amount $

Please enter the credit card numbers only without spaces.

Card Number Expiration: Month: Year:

Cheque

Please make cheque payable to: Yuri Mutiger Memorial Fund
and mail it to:

Golf4Yuri Memorial Tournament
Attention: Jorun Rucels
4 Donwoods Court
Brampton, Ontario
L6P 1C5
 
Telephone: 905-794-0026, e-mail: jorun@rogers.com