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The 2016 Jack Vance
Community and Corporate
Golf Challenge

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Fundraiser for the Tweed & Area Arts Council's Marble Arts Center

“4 Person Scramble” Sunday June 12 , 2016, Poplars Golf Club, Tweed.
Shotgun Start at 11 a.m.

$400 per team or $100 per person for an individual entry (includes game, cart, steak dinner and winner keeper trophies)

This year you have the opportunity to win a CAR with a hole in 1. Good Luck!

The winning team will receive a special trophy and have their names engraved on our permanent plaque displayed at the Marble Arts Centre.

Please make cheques payable to:
Tweed & Area Arts Council.
and mail, with completed form, to:
Jack Vance Golf Challenge c/o Don Herbertson, 92 Stoco Road, R.R.#4 Tweed, Ontario, K0K 3J0.
A charitable tax donation receipt will be issued for a portion of the entry fee.

Please indicate your preference: Group/Company     Individual    (we will team you up)
Name of Team Captain (and Group or Business Name):

___________________________________________________________________________________________

Address: ___________________________________________________________________________________

City: ____________________________________ Province: _________ Postal Code: _______________

Phone #: ________________________ e-mail: __________________________________________________

  Payment Enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 or 4 X $100 = ____
  I would like _____ additional tickets for the dinner . . . . @ $25 each = ____
  We/I would like to sponsor a hole . . . . . . . . . . . . . . . . . . . . . 1 @ $100 = ____

Total Enclosed = _______

Name, address, telephone and email of other team members:

1. _________________________________________________________________________________

2. _________________________________________________________________________________

3. ________________________________________________________________________________

Join us for a great day of golf!
General Jonathan Vance,Chief of Defence Staff, will participate.