Registration

Name

Mailing Address * (required)

Telephone
(Day)
(Evening)

Email* (required)

Confirm Email*

Preference for Golf Foursome (up to 3 plus yourself)
   
   

Would you like caddies from Bayside Rugby? (complimentary)
Number requested for your group

Golf / Lunch / Dinner: x $125* per person = $
* AS OF MAY 1/09, if you paid $175 per person - contact Paige @ (604) 313-4518 *

Dinner Only: x $60 per person = $

Dinner only (please enter names)
   
   

Platinum Sponsor ($2500)

Gold Sponsor ($1250)

Silver Sponsor ($700)

Cocktail Sponsor ($3000)

Lunch Sponsor ($3000)

Tee/Hole Sponsor ($200)
We will contact you to arrange tee/hole sign.

Yes! I would like to make a donation to the Cody Triggs Memorial Fund.
Donation of $

Silent Auction Sponsor
Please enter description and value of item below:

Comments

Total amount = $

Payment Method
  I will send a cheque in the mail to the address below
  I will pay by credit card (Bayside Rugby Club will email me an invoice)