Home Phone Number:
Work Phone Number:
Your Email Address:
Email Address:
# of People
Rate $
$ Total
Early Bird Golfer Package:
(before May 1 2009)
$150
Early Bird Foursome Package:
(before May 1 2009)
$600
Golfer Package:
(after May 1 2009)
$175
Foursome Package:
(after May 1 2009)
$700
Banquet only Ticket
$50
Total
Payment Information
if paying by cheque please make payable to:
LIONS CLUBS CHARITY GOLF TOURNAMENT
17-700McLeod Rd suite 253, Niagara Falls, Ontario,
L2G 7K3
