Golf Tournament All proceeds benefiting the Brain Injury Association of the Ottawa Valley Thank you to our Sponsors: Presenting: Platinum: Thursday June 19th - Loch March Golf & Country Club 1755 Old Carp Rd, Kanata, ON K2K 1X7 (613) 839-5885 Rain or shine! ! 10:30am 11:00am 12:00pm 5:30pm 7:45pm Registration Lunch Shotgun Start Best Ball Dinner & Socialize Wrap up Entry Fees: Gold: $150 $525 $250 $650 Silver: ! Bronze: ! Single (includes: Lunch, Green Fees, Cart & Dinner) Foursome Hole Sponsor Foursome & Hole Sponsor Space is limited, so sign up soon. All golf levels welcome. If you have any questions or wish to register, please contact Pat Fleming at 613-882-8434. Thank you in advance for supporting this great organization! Sincerely, Pat Fleming, R.Kin. CSCS 613-882-8434 Golf Tournament All proceeds benefiting the Brain Injury Association of the Ottawa Valley REGISTRATION FORM: DATE: TIME: PLACE: ! FEES: ! Format: Thursday June 19th, 2014 Registration at 10:30 AM. Lunch at 11:00AM. Shotgun Start at 12:00PM (Sharp) Loch March Golf & Country Club 1755 Old Carp Rd Kanata, ON K2K1X7 (613) 839-5885 ! ! ! ! ! $150 Single (includes:!Lunch, Green Fees, Cart & Dinner) $525 Foursome ! $250 Hole Sponsor ! $650 Foursome & Hole ! Sponsor 4 Person team scramble. If you enter as a single, you will be placed with others. ENTRY FORM: Name: ! Company: ! Address: ! ! ! Telephone: ! Email: ! ! ! ! ! ! ! ! ! ! ! ! ! Comments: Please Check: o $150 Single o $525 Foursome o $250 Hole Sponsor o $650 Foursome & Hole Sponsor ! (If Applicable/known) Team Members: Player 1 Name: ______________________________ Player 2 Name: ______________________________ Player 3 Name: ______________________________ Player 4 Name: ______________________________ Please make cheque payable to: Brain Injury Association of the Ottawa Valley Contact Pat Fleming 613-882-8434 for inquiries 48 hour cancellation policy for event Please send Registration Forms & Payment to: Fleming Fitness 632 Rosehill Ave Stittsville, ON K2S 0K2 Fax: 613-435-4484
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