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22nd Annual Golf For A Cure

Event Starts in:

Golden Eagle Golf Club
North & South Courses
21770 Ladner Rd
Pitt Meadows, BC
www.goldeneaglegolfclub.com

The 22nd Golf For A Cure will be held at Golden Eagles Golf Club.
Register your sponsorship or foursome today!

If your organization would like to add excitement to the day and provide a fun activity, refreshment or food on a hole please call 604-552-2850.

All donations are drawn in Canadian funds.
Registration is first come first served. Registration deadline is April 30th

Sponsorship

I will support the Tournament with a sponsorship selected below: *

Platinum level - $10,000.00

Diamond level - $5,000.00

Gold level - $3,500.00

Silver level - $2,000.00

Cart Sponsorship level - $1,600.00

Hole Sponsorship level - $500.00

Not Applicable level - $0.00

If you would like to pay offline, please print out our Sponsorship Registration Form.

Registration Option

Includes golf, prizes, power carts, lunch, and post golf gathering with food.
Note: Individual golfers are not guaranteed a spot. Four-person registration is encouraged.

$175.00 Please register me as an individual golfer. My payment is enclosed

$700.00 We have a four-person team arranged and they are listed below. The team payment is enclosed

I cannot play this year

Donation

I would be pleased to donate the following amount.

$


Payment Information

I will pay with:
Credit Card     OR   
Cheque or Money Order

If paying with Credit Card:


If paying with Cheque/Money Order:

Please send your payment to:

Michael Cuccione Foundation
P.O. Box 31081,
8-2929 St. Johns Street
Port Moody, BC V3H 4T4

If you have any questions, please call us Toll Free at 1 866 860 CURE (2873) in North America or 604-552-2850 local British Columbia.



Players Information

Team Contact or Individual


Confirmation will be sent via email.

2nd Player


3rd Player


4th Player




Optional

Would you like us to contact you from time to time to advise of upcoming events?
Yes   No

Are you interested in volunteering at an upcoming event?
Yes   No

Additional Comments: Anything you’d like us to know? Please enter your notes below.

Do you require a tax receipt?
No Yes
If your donation is $25.00 or more, what name or organization do you want to appear on the tax receipt?