Graham Sanborn Junior / Senior Charity Invitational

Thursday, August 28, 2008 at Cherry Downs Golf Course

Print This Form Out and Fax or Mail It To Us. Details Below.

Senior: ______________________________ Junior: _______________________________

Handicap: _____________________________ Handicap: _____________________________

Age of Junior (must be under 18): _______

Telephone#: __________________ Fax#: ____________________

Email: ____________________________________________________________

Mailing Address: _____________________________________________

_____________________________________________

_____________________________________________

Circle one of the following: $400.00 (18 holes) per twosome or 300.00 (9 holes) per twosome

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If paying by credit card, please circle the card type, and record the card # and expiry date.

Credit Card Type: VISA MasterCard American Express

Card # _________________________________________________________ Exp: ____________

Cardholder Name: _____________________________________

If paying by cheque, please make payable to:

The Princess Margaret Hospital Foundation

Mailing address:

Graham Sanborn Media Ltd.,

2349 Queen St. East,

Toronto Ontario, Canada

M4E 1H2

Phone: (416) 690-0142, Fax: (416) 690-1783

~OR~

I cannot attend, but please accept my donation of: ________________ (a tax receipt will be issued).

Thank You for Supporting The Princess Margaret Hospital Foundation!