Lady Minto Hospital Foundation, Salt Spring Island, BC

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Texas Scramble Tee-Off Time:
 8:00 a.m. 11:00 a.m. 2:00 p.m.

Members of SSI Golf & Country Club Please specify quantity:

Entry Fee + Dinner @ $70/ea. ($40 tax receipt provided)

Entry Fee, No Dinner @ $40/ea. ($40 tax receipt provided)

Non-Members of SSI Golf & Country Club Please specify quantity:

Entry Fee + Dinner + Green Fee @ $85/ea. ($40 tax receipt provided)

Entry Fee, No Dinner + Green Fee @ $55/ea. ($40 tax receipt provided)

Extra Dinner Tickets $30/ea. Please specify quantity:

Extra tax-deductible donation. Please specify amount:

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If entering as a team please list names of other team members (Please have each team member fill out a separate form):

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If paying by cheque, please mail to:

Lady Minto Hospital Foundation

135 Crofton Road

Salt Spring Island, BC V8K 1T1

Email: karen.mouat@viha.ca

For more information, please call (250) 538-4824