Contact Person  

Organization 

Telephone   Fax 

Address   

City   Prov  BC AB MN Postal Code

Email (optional)   

If you have a team of 4, please enter all 4 players names and select Team Entry.  If less than 4 players, please select individual entry for each player.

 Players Names                

1     Individual Entry  $200

2     Individual Entry  $200

3     Individual Entry  $200

4     Individual Entry  $200

Team Entry  $800.

1 2 3 4 0 Tournament Fun Packs (click here for details)

0 1 2 3 4 5 Extra Dinner Tickets  $50 each        

I would also like to make a donation to this tournament fundraiser.

By continuing onto the next screen, you are committing to your registration.  Your registration will be on hold until full payment has been verified.

Thank you.