London
Sunday, August 27, 2017 | FireRock Golf Club
We are pleased to offer you the following items and services as part of the player’s package:
Green Fees • Golf Cart • Golfer’s Welcome Package • Tee Gift • Beverage & Snacks
Lunch • Banquet Dinner • Opportunity to Win Fabulous Prizes • Opportunity for Great Networking
Unique Gift Courtesy of Aga Khan Foundation Canada
Company Name: ______________________________________________________________________________________
Date: _____________________________
Foursome Contact: ______________________________________ Tel: _______________________
Email: ____________________________
Cost Per Player: $225.00 (Tax receipt given for $50.00 per golfer)
Dinner Only: $50.00 (per person)
Name
Player 1
Registration
Information
Address
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Fax#
Email
Diet/Allergies
Name
Player 2
Registration
Information
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Bus#
Fax#
Email
Diet/Allergies
Name
Player 3
Registration
Information
Address
Bus#
Fax#
Email
Diet/Allergies
Name
Player 4
Registration
Information
Address
Bus#
Fax#
Email
Diet/Allergies
Address:
“AKFC – WPG London” c/o Shiraz Kassam
6 Huntington Terrace, St. Thomas, ON N5R 6H1
Tel: 519-633-3086 Fax: 519-633-5691
[email protected]
“AKFC – WPG London” C/O Mohmud Kassam
209 Whisperwood Avenue, London, ON N6K 4C7
Res: 1-519-657-2200 Cell: 1-519-859-2022
[email protected]
Charitable Registration Number: 10007 2586 RR0001