Golf Tournament

Inscription for the Golf tournament

Please send your check and registration form to :

The Jean Gladu Foundation
2115, St Cesaire
Marieville, Quebec J3M 1E5

To the attention of Louise Guertin

For more informations call : 450-460-4484 ext. 222

Inscription limit :

May 1, 2005


	Foursome - 1000$ p.p (Dinner included) Name:______________________________ Address: ___________________________ Email: ___________________________ Name:______________________________ Address: ___________________________ Email: ___________________________ Name:______________________________ Address: ___________________________ Email: ___________________________ Name:______________________________ Address: ___________________________ Email: ___________________________
	Dinner only - 80$ p.p Name:______________________________ Address: ___________________________ Email: ___________________________ Nom:______________________________ Adresse: ___________________________ E-Maill: ________________________