| 2004 Blair Learmont Memorial Golf Tournament |
| Entry #1 |
| Name:______________________________________________________ Address:_____________________________________________________ ______________________________________________________ Telephone #:________________________ Email Address:_________________________________ Skill Level: Handicap_______ I golf a few times a year (score)_______ What's Golf?______ Attending: Golf and Dinner_______($75.00) Dinner & Dance Only_______($30.00) _____________________________________________________________________________________ |
| Entry #2 Name:______________________________________________________ Address:____________________________________________________ _____________________________________________________ Telephone#_________________________ Email Address:_________________________________ Skill Level: Handicap______ I golf a few of times a year (score)________ What's Golf?______ Attending: Golf and Dinner_______($75.00) Dinner & Dance Only________($30.00) ____________________________________________________________________________________ |
| Entry fees this year are $75.00 per person which includes your 9 hole green fee, full dinner and prizes and a dance to follow.. Those wishing to attend the dinner, award ceromonies and dance are always welcome and the cost will be $30.00. Entry to the dance beginning at 8:00 PM is free of charge! |
| Please include payment with your entry form. Total Enclosed: $__________________________ |
| Please make cheques payable to: Account # 5003827 |
| Please mail all cheques to: Kevin Moore RR#3 Forrester Trail Bracebridge, ON P1L 1W9 |