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    Entry fee is $150 per person (includes 9-holes, shared cart and dinner)
    Optional: Add $10 per player for Mulligan Card and Putting Contest



    $135 includes $10 optional Mulligan/Putting Contest$150



    $135 includes $10 optional Mulligan/Putting Contest$150



    $135 includes $10 optional Mulligan/Putting Contest$150



    $135 includes $10 optional Mulligan/Putting Contest$150

    Please make cheques payable to "Rotary Club of Nanaimo Daybreak" or pay by credit card

    Please mail your cheque to:

    Rotary Daybreak Golf

    c/o 3730 Polaris Drive

    Nanaimo, BC V9T 1N3

    Or drop it off to:

    Terry Rogers c/o Smythe CPA

    201 - 1825 Bowen Road

    Nanaimo, BC V9S 1H1

    Pay by credit card

    Complete this form with credit card information and email it to Terry Rogers at or mail/drop off
    Name on Card: _________________________________________

    M/C Visa #: _________________________________________

    Expiry: ___ /___

    CVD: ______

    Pay by eTransfer:

    Sponsorship Opportunities or Dinner Only Option

    Gold ($1,500) - includes signage on all golf carts, 9 holes golf, 2 carts and dinner for 4
         OPTIONAL ADD: $40 for Mulligan Card and Putting Contest for all team members

    Silver ($750) - includes hole sponsor signage, 9 holes golf, 2 carts and dinner for 4
         OPTIONAL ADD: $40 for Mulligan Card and Putting Contest for all team members

    Hole ($300)

    KP/Long Drive ($300)

    Hole in One ($300)

    Dinner Only ($45) No. of tickets:

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