Canadian Macedonian Place • 850 O'Connor Drive • Toronto, Ontario • CANADA M4B 3L6
Contact Zlatka Cokov • Phone: 416-755-9231 • Fax: 416-755-9232
E-Mail: ZCokov@CanadianMacedonianPlace.com
 
Macedonian Open 2011 - Online Registration Form
 
Golf & Dinner $210 each No. of Tickets $
Junior 17 & Under $110 each No. of Tickets $
Hole Sponsor $300 each No. of Tickets $
Total: $
 
 REGISTRANT INFORMATION
 
First Name:
Last Name:
Company:
Street Address:
Suite:
City:
Province / State:
Country:
Postal Code:
Phone:
E-mail:
Prefered contact option: Phone E-mail
 
   Names of the Foursome (if applicable)
 
PLAYER 1:  
First and Last Name:
Address:
Phone:
Macedonian? Yes No
Age 17 & Under 18-49 50-64 65+
Gender Male Female
PLAYER 2:  
First and Last Name:
Address:
Phone:
Macedonian? Yes No
Age 17 & Under 18-49 50-64 65+
Gender Male Female
PLAYER 3:  
First and Last Name:
Address:
Phone:
Macedonian? Yes No
Age 17 & Under 18-49 50-64 65+
Gender Male Female
PLAYER 4:  
First and Last Name:
Address:
Phone:
Macedonian? Yes No
Age 17 & Under 18-49 50-64 65+
Gender Male Female
 
   Payment Information
 
Total Amount:
Payment Method:
Credit Card No.
* Security ID Number
Card Expiry Date
Month:
Year:
Cardholder's Name:
Postal Code:
(from billing address):
 
 
  Please be patient as the form is processed. Do not hit the submit button again.
 
  * On Visa and Mastercard you will find the 3-digit security ID printed in the signature panel on the back of the card. American Express cardholders will find the 4-digit security ID printed above the card number on the front of the card.
 
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