FAX: 905 427-4050<br>
2011 Michael / Bryan Golf Tournament<br>
Pre-Registration Form<br>
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Team Name:_________________________________________________________<br>
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Player 1:__________________________________________________________<br>
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Email Address:_____________________________________________________<br>				
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Player 2:__________________________________________________________<br>
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Email Address:_____________________________________________________<br>
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Player 3:__________________________________________________________<br>
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Email Address:_____________________________________________________<br>
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Player 4:__________________________________________________________<br>
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Email Address:_____________________________________________________<br>
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Individual Player Registration:<br>
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Player:___________________________________ Phone (&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;)______________<br>
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Email Address:______________________________________________________<br>
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Form of Payment:&nbsp;&nbsp;$150.00 each $600 Team&nbsp;&nbsp;&nbsp;&nbsp;(circle one)&nbsp;&nbsp;&nbsp;&nbsp;
Cheque&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
Cash&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
Credit Card<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Payable to Michael Bryan OPEN<br>
Credit Card:&nbsp;&nbsp;&nbsp;&nbsp;(circle one)&nbsp;&nbsp;&nbsp;&nbsp;
Visa&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
M/C<br>
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Number:&nbsp;&nbsp;__ __ __ __&nbsp;&nbsp;&nbsp;&nbsp;
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Exp. Date ___/____<br>
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Name on Card:____________________________________________________<br>	      
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