Sheba Shrine Club MIXED GOLF TOURNAMENT

Register with: Jed Handy 705-818-3435 / jedhandy@hotmail.com

Send Registration to: 1927 Russell Rd. Midhurst Ont. L0L 1X0

Please make cheques payable to: Sheba Shrine Club

*****Hold your team registration with your credit card!!*****

TEAM:______________________________

Name:_______________________________ Name:______________________________

Address:_____________________________ Address:____________________________

City:_________ Prov._____ P/Code:_______ City:________ Prov._____ P/Code:_______

Phone #:____________ Cell #:____________ Phone #:____________ Cell #:___________

Company: ____________________________ Company: ___________________________

E Mail: ______________________________ E Mail: ______________________________

Name:_______________________________ Name:______________________________

Address:______________________________ Address:_____________________________

City:_________ Prov._____ P/Code:_______ City:________ Prov._____ P/Code:_______

Phone #:____________ Cell #:____________ Phone #:____________ Cell #:___________

Company: ____________________________ Company: ___________________________

E Mail: ______________________________ E Mail: ______________________________

Team Contact: Name:____________________________ Phone #:_________________