Registration - Sponsorship Form
 Lusogolf Fundraising Inc.
SATA Express Cup - May 24, 2008

Company Info
Name :
Address :
City :    Province/State :
Country :     Postal/Zip code :
Email :
Telephone :          Fax : 

Sponsorship            

Golf Fees only  @ $175.00
Dinner only       @ $50.00

Golfers
 ***   Golfer 1 :
Address :
Telephone :      RCGA/GAO#:       HDCP:
 ***   Golfer 2 :
Address :
Telephone :      RCGA/GAO#:       HDCP:
 ***  Golfer 3 :
Address :
Telephone :      RCGA/GAO#:       HDCP:
 ***  Golfer 4 :
Address :
Telephone :      RCGA/GAO#:       HDCP:
Please remit Cheque or Money Order to:
Lusogolf Fundraising Inc.
31 Dawnridge Trail, Brampton ON Canada L6Z 1Z7

or call Joe Borges @ tel: (905) 624-2600  fax: (905) 624-8565
 for VISA or Mastercard.