Golf Tournament 2025 *Only the credit card holder will be issued a tax receipt for green fees* Green Fee - select Green Fee - Green Fee - $ 350.00 Green Fee x 2 - $ 700.00 Green Fee x 3 - $ 1,050.00 Green Fee x 4 - $ 1,400.00 Total Amount Email Address * Who else will you be golfing with (foursome, etc.)? If you are registering these golfers, you will be able to list their information on the next page. If they are registering themselves, please list their names so we can be sure to schedule you together. Golfer Names Authorize.net (Credit Card) Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Billing Name and Address First Name * * Billing Middle Name Last Name * * Street Address * City * Country * - select - Canada Australia United Kingdom United States State/Province * - select State/Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code * Meal Information Any dietary restrictions? Review your contribution