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The
Scott Reid Foundation / Scholarship Fund |
The
10th Annual Scott Reid Memorial Golf Tournament
|
Friday,
June 24, 2011 (Registration 12:00 Noon) |
Bay of Quinte Golf Course |
Registration
Form
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If you would like to participate in the 10th Annual Scott Reid Memorial Golf Tournament, please
complete this form and then click on the Submit Form button. Fields marked with an * are required.
Thank you for supporting The Scott Reid Foundation / Scholarship Fund! |
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Participation
Options |
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Golf
and Dinner (Individual or team entry - 4 players required
to enter as a team): |
| (Includes:
Golf, cart, steak dinner, golfer gift, chances at other golf prizes)
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Dinner
Only: |
| (Includes:
Steak Dinner and Dessert)
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Registration
Information |
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| Player
# 1 (Primary Contact Person): (Required if registering for
Golf and Dinner or Dinner Only) |
| Title: |
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First name: * |
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Last name: * |
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Job Title: |
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Company Name: |
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Address1:* |
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Address2: |
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City:* |
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Province:* |
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Postal Code:* |
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Daytime Telephone: * |
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Evening Telephone: * |
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Email Address: * |
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Average Score:** |
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| Player
# 2 (Please complete all fields marked with an **): |
| Title: |
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First name: ** |
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Last name: ** |
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Job Title: |
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Company Name: |
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Address1:** |
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Address2: |
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City:** |
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Province:** |
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Postal Code:** |
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Daytime Telephone: ** |
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Evening Telephone: ** |
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Email Address: ** |
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Average Score:** |
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| Player
# 3 (Please complete all fields marked with an **): |
| Title: |
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First name: ** |
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Last name: ** |
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Job Title: |
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Company Name: |
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Address1:** |
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Address2: |
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City:** |
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Province:** |
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Postal Code:** |
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Daytime Telephone: ** |
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Evening Telephone: ** |
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Email Address: ** |
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Average Score:** |
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| Player
# 4 (Please complete all fields marked with an **): |
| Title: |
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First name: ** |
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Last name: ** |
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Job Title: |
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Company Name: |
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Address1:** |
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Address2: |
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City:** |
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Province:** |
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Postal Code:** |
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Daytime Telephone: ** |
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Evening Telephone: ** |
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Email Address: ** |
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Average Score:** |
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| Please provide comments or special requests
in the space provided: |
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| How did you hear about us?
(To select
more than one item from the list, hold down the Ctrl key and left click) |
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* I have read and understand your privacy
policy and consent to your use of my personal information, subject to
the terms of your privacy policy.
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Registration
and Payment Options (* Please select Option 1 or 2): |
| |
1. Print and mail this form and a cheque payable to The Scott Reid Foundation/Scholarship Fund.
Please mail your completed registration form and cheque to:
Adam Reid,
RR # 4, Barnes Road,
Brighton, ON K0K 1H0
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or |
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2. Submit this form and pay by credit card using PayPal.
(After you click on the Submit Form button, you will be able to pay for your registration by PayPal). |
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