I would like to book a team/s of four players at £1,500 The package includes: • Breakfast in Sam’s Restaurant • 18 holes on The Brabazon Championship Golf Course • Two buggies per team of four • Drinks Reception and Three Course Dinner in The Wishaw Suite 9.00 am 11.30 am 7.00 pm 7.30 pm Registration opens with breakfast in Sam’s Golf begins Drinks Reception in The Wishaw Suite Dinner with wine in The Wishaw Suite Your Details Name Address Postcode Mobile Email Your Team | Handicap allowance: Men 24 , Ladies 32 Team Name Team members names Handicap Your Name Further Details and Payment I would like to confirm two buggies (complimentary within package) Total payment of I would like to be invoiced I enclose a cheque for £ made payable to Motor Neurone Disease Association I will make a BACS transfer to: MND Association bank details – Account no: 02952679 Sort Code: 30 96 09 : insert Broad Appeal Belfry Golf Day Please contact me to take a credit card payment on contact number above Team Application Deadline: Friday 14 July 2017 Please send completed forms to: Sue Dorrington, Special Events, MND Association, 49-51 East Road, London N1 6AH. Email: [email protected] | Registered Charity no. 294354
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