Weyburn, Saskatchewan.

June 6 - 10, 2012

2012 Golf Registration

Name ________________________________   

Address ______________________________  City _________________________ Prov./State _______

 Postal/Zip ______________ Telephone ___________________________ E-mail ____________________

 Good Sam Chapter ______________________________

 Handicap: ________

 Golf Registration Fees                                                   

                Golf                                                                                  

9  Holes (Cart extra)       $28.00        __________                               

18 Holes (Cart extra)       $42,00        __________                               

      Power Golf Cart                                                                            

9  Holes                          $14.00         __________

18 Holes                          $20.00        __________

 Total Cost                                          __________

Mailing Instructions: 

Kathy Henfrey, 1427 Benjamin Crescent,

Regina. SK, Canada  S4X 4L3

Phone: (306) 543-9801

 Make Cheques Payable To:

Saskatchewan Samboree

 Full refunds will be provided if golf cannot be played due to weather

Good Sam Masters Jackets will be awarded