Golfer Registration Form
Monday, September 13, 2010
Chipping In for Habitat for Humanity is a high-profle charity golf tournament providing the best in hospitality. From the moment we unload your golf bag to the end of our premium dinner reception you will have everything you need for a memorable day - it’s all included with your green fees.

Register your Foursome Today for this
All-Inclusive Charity Golf Tournament

Company Name:
Contact Name:
Address:
City:
 Province:
 Postal Code:
Phone:
 Fax:
Email:


Name of Golfers: (exciting tournament updates will be sent to the emails below)
1. Email:
2. Email:
3. Email:
4. Email:


Payment:
Visa  
MasterCard  
American Express  
 Green Fees ($300 per golfer) = $
Total Remittance($300 per golfer) = $
Card #: Expiry:
Cardholder:
(please print name)

Golfer Registration Deadline • August 18, 2010

All proceeds support Habitat for Humanity Wellington County. Registrations will be accepted on a frst-come basis upon receipt of payment in full. Please Note: We are unable to issue tax receipts for green fees. Golfers are encouraged to contribute via sponsorship, prize/auction item, and/or monetary donation.