COLLEGE OF ANAESTHETISTS
Fundraiser for Malawi
GOLF CLASSIC & EDUCATION SEMINAR
Elm Park Golf & Sports Club Ltd
WEDNESDAY 1ST OCTOBER 2008
Sponsor Name / Team Captain
I would like to enter a team of four
Name
:
__________________________________________
Address:
__________________________________________
__________________________________________
Players Names
Handicap
1.
___________________________________________________
2.
___________________________________________________
3.
___________________________________________________
4.
___________________________________________________
Cost € 600.00
(Tee Times 8.00am – 10.30am and 2.00pm – 3.00pm)
(Please contact us to determine what tee-off times are available)
I would like to attend the dinner & education seminar
€ 85.00 pp
No: ---- individuals will attend the dinner total cost €________________
(Please indicate the total number of dinner attendees above)
I would like to sponsor a Golf Prize/ Raffle Prize € ________________
I would like to sponsor a tee box
Cost
€200.00
I would like to donate
€ _________________
Complete & return this form (available on our website www.anaesthesia.ie) with a cheque made payable to ‘College of Anaesthetists Education Fund’
and post to:
Mary Malone
College of Anaesthetists
22 Merrion Square North, Dublin 2
Tel.
Fax
Email
01 661 4412
01 661 4374
[email protected]