Embers Golf Tournament 2013 - Player Registration
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7/30/2019 Embers Golf Tournament 2013 - Player Registration
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Please email or fax this completed form toCassie Dixon | [email protected]
Phone: 604 692 0781Fax: 604 692 0780
Payment due July 1st, 2please make cheques payable to Em
player #1name companyaddress city
postal code phone
fax email
charge to [ ] visa [ ] mastercard # expiry
signature [ ] pay for team [ ] individual only
player #2name company
address city
postal code phone
fax email
charge to [ ] visa [ ] mastercard # expiry
signature [ ] pay for team [ ] individual only
player #3name company
address city
postal code phone
fax email
charge to [ ] visa [ ] mastercard # expiry
signature [ ] pay for team [ ] individual only
player #4name company
address city
postal code phone
fax email
charge to [ ] visa [ ] mastercard # expiry
signature [ ] pay for team [ ] individual only
