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Please join us for the 13th Annual
Youth in Motion Golf Classic

Angus Glen, South Course
Wednesday, September 19th, 2012 - 7:30 a.m. Shotgun Start

You may register on-line below or print this form and fax to 416-962-2946 or mail to:

Youth in Motion Golf Classic
20 Queen Street West, Suite 1000, P.O. Box 43,
Toronto ON, M5H 3R3
Attn : Jennifer Basso

Jennifer Basso at 416-962-4946 jbasso@youth-in-motion.ca or
Frank MacGrath at 905-726-4488 fmacgrath@gtigolf.com

Please provide the following information:
Name Company Name
Street Address Address (cont.)
City Province
Postal Code Day  Phone
Evening Phone Fax
E-mail

For each member of your foursome, please provide the following information.
Name Email Approximate Golfing Ability
Beginner Intermediate Advanced
Beginner Intermediate Advanced
Beginner Intermediate Advanced
Beginner Intermediate Advanced
Please register me for the following:
  Qty    
Early Bird Individual Golf Package
(Until June 30th 2012)		 x $215.00 + $27.95 HST = $242.95 / golfer $

Early Bird Foursome Registration (Until June 30th 2012)

 x $820.00 + $106.60 HST = $926.60 / foursome $
Individual Golf Package x $230.00 + $29.90 HST = $259.90 / golfer $
Foursome Registration x $850.00 + $110.50 HST = $960.50 / foursome $
Lunch Only x $35.00 + $4.55 HST = $39.55 / person $
Sponsorship Level
Title Event Sponsor $10,000 + $1,300 HST = $11,300 $
Silver Event Sponsor $5,000 + $650 HST = $5,650 $
Lunch Sponsor $5,000 + $650 HST = $5,650 $
Golf Cart Sponsor $4,000 + $520 HST = $4,520 $
Beverage Cart Sponsor $2,500 + $325 HST = $2,825 $
Golfer Gift Sponsor $4,000 + $520 HST = $4,520 $
Longest Drive Sponsor $1,500 + $195 HST = $1,695 $
Closest to the Pin Sponsor $1,500 + $195 HST = $1,695 $
Hole/Foursome Combo $1,500 + $195 HST = $1,695 $
Silent Auction Sponsor $1,000 + $130 HST = $1,130 $
I wish to make a tax receiptable donation to Youth in Motion in the following amount
Please note: Youth In Motion can issue tax receipts only for a direct donation
to Youth in Motion.
 $

Total amount enclosed

$

I would like to donate the following prizes/auction items:

All prices include HST ~ Refunds available until August 31, 2012

Please note that this is not a secure website. No payments will be accepted online.

Pay By Credit Card   Pay By Cheque
If you wish to pay by VISA or Mastercard, please complete and print this form, OR clearly print your credit card number, expiry date, name on the card and amount and fax it to Jennifer Basso at 416-962-2946.
         
  Name on Credit Card:  
  Card Number:  
  Expiry Date:    
  Amount: $  

If paying by cheque, please make cheque payable to Youth in Motion and
forward to our office along with the registration form.

Visit our website at www.youth-in-motion.ca

For further information, please contact:

Jennifer Basso at 416-962-4946 jbasso@youth-in-motion.ca or
Frank MacGrath at 905-726-4488 fmacgrath@gtigolf.com

Last revised: May 7, 2012