The Scott Reid Foundation / Scholarship Fund

The 11th Annual Scott Reid Memorial Golf Tournament

Friday, August 24, 2012 (Registration 12:00 Noon)
Bay of Quinte Golf Course

Registration Form

       If you would like to participate in the 11th Annual Scott Reid Memorial Golf Tournament, please
complete  this form and then click on the Submit Form button. Fields marked with an * are required. 
Thank you for supporting The Scott Reid Foundation / Scholarship Fund!
 
Participation Options
 

Golf and Dinner (Individual or team entry - 4 players required to enter as a team):

(Includes: Golf, cart, steak dinner, golfer gift, chances at other golf prizes)

 

Dinner Only:

(Includes: Steak Dinner and Dessert)

 
Registration Information
 
Player # 1 (Primary Contact Person): (Required if registering for Golf and Dinner or Dinner Only)

Title:

First name: *

Last name: *

Job Title:

Company Name:

Address1:*

Address2:

City:*

Province:*

Postal Code:*

Daytime Telephone: *

Evening Telephone: *

Email Address: *

Average Score:**

Player # 2 (Please complete all fields marked with an **):

Title:

First name: **

Last name: **

Job Title:

Company Name:

Address1:**

Address2:

City:**

Province:**

Postal Code:**

Daytime Telephone: **

Evening Telephone: **

Email Address: **

Average Score:**

Player # 3 (Please complete all fields marked with an **):

Title:

First name: **

Last name: **

Job Title:

Company Name:

Address1:**

Address2:

City:**

Province:**

Postal Code:**

Daytime Telephone: **

Evening Telephone: **

Email Address: **

Average Score:**

Player # 4 (Please complete all fields marked with an **):

Title:

First name: **

Last name: **

Job Title:

Company Name:

Address1:**

Address2:

City:**

Province:**

Postal Code:**

Daytime Telephone: **

Evening Telephone: **

Email Address: **

Average Score:**

   
Please provide comments or special requests in the space provided:
   

How did you hear about us?

(To select more than one item from the list, hold down the Ctrl key and left click)
 
* I have read and understand your privacy policy and consent to your use of my personal information, subject to the terms of your privacy policy.
 
Registration and Payment Options (* Please select Option 1 or 2):
 
  1. Print and mail this form and a cheque payable to The Scott Reid Foundation/Scholarship Fund. 
       Please mail your completed registration form and cheque to:              
Adam Reid, 
RR # 4, Barnes Road,
Brighton, ON  K0K 1H0
or
 
  2. Submit this form and pay by credit card using PayPal.
           (After you click on the Submit Form button, you will be able to pay for your registration by PayPal).
 

© 2005 to present - Pettella Adaptive Solutions, Inc.