Golf Registration Form

Golf Registration Form

Please fill the registration form below clearly and we will get back to you in a short time.
Sponsoring Company or
Single Golfer's Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team Member #1
Name and Phone Number
Team Member #2
Name and Phone Number
Team Member #3
Name and Phone Number
Team Member #4
Name and Phone Number
Sponsoring Companies Donation
Payment Options*

E-transfer: finance@legacyseniorscentre.comCheque (please mail cheque to address below or drop off at Legacy Centre's Office)Debit (Please see Carrie Pollard at the main office at the Legacy Centre)Cash (Please see Carrie Pollard at the main office at the Legacy Centre)
All payments not made by e-transfer should be made to the Legacy Centre. Payments can be made in person or by mail to:

Legacy Centre
Box 11545
Lloydminster, AB T9V 3B8

For in-person payments, cash, cheque, or debit card are accepted at the Legacy Centre office.
Should be Empty: