Golf Form – Private "*" indicates required fields Name* First Last Email* Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Texas Scramble Tee-Off Time* 8:00 a.m 11:00 a.m 2:00 p.m. Are you registering as a team for the Sandbaggers Challenge Cup?* Yes No What is the name of your Challenge Cup team? Challenge Cup team registration is $300 per team. Price: How many golf club members are you registering for? Price: CAD$ 86.00 CAD Quantity: Members: Includes $60 tax receipt, food and green feesHow many non-golf club members are you registering for? Price: CAD$ 101.00 CAD Quantity: Non-Members: Includes $60 tax receipt, food and green feesFor each person you are registering, including yourself, please indicate their name and choice of food and side. 1) First and Last Name 1) Email 1) Food ChoiceSelect your choiceSmoked Cheddar BurgerBeyond Meatless BurgerFried Chicken Sandwich1) Side ChoiceSelect your choiceFriesSalad2) First and Last Name 2) Email 2) Food ChoiceSelect your choiceSmoked Cheddar BurgerBeyond Meatless BurgerFried Chicken Sandwich2) Side ChoiceSelect your choiceFriesSalad3) First and Last Name 3) Email 3) Food ChoiceSelect your choiceSmoked Cheddar BurgerBeyond Meatless BurgerFried Chicken Sandwich3) Side ChoiceSelect your choiceFriesSalad4) First and Last Name 4) Email 4) Food ChoiceSelect your choiceSmoked Cheddar BurgerBeyond Meatless BurgerFried Chicken Sandwich4) Side ChoiceSelect your choiceFriesSaladTotal Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Are you a pesky robot? Δ
