Registration Form

Name :

Address :

City :

Phone No. :

Payment By: Master Card Visa Other:

Foursome(225X4) : $900

Business Name :

Address :

City :

Phone No. :

Tickets for Masters : ($50/each or 5 for $200)

Quantity : $

Total Amount($) :

(1)

(2)

E-mail :

Tickets for the draw of Masters (Thursday & Friday- $50 each or 5 for $200!)

Name :

Address :

Phone No. :

No. of tickets :

E-mail :

City :

Total Cost :

Name :

Address :

Phone No. :

No. of tickets :

E-mail :

City :

Total Cost :

Name :

Address :

Phone No. :

No. of tickets :

E-mail :

City :

Total Cost :

Cheques made Payable to "Rival Office Solutions Charity Golf Classic" 1000 Clarke Rd Unit# 4 London ON N5V 3A9

Please Fax the Registration Form to Rival Office Solutions at 519- 457-7620