SPRING SHAKER     May 23rd , 2011

Members Only (Full & Associate Welcome)

ENTRY FEE:  $ 23.00

NAME: _______________________________               HANDICAP: ____________________

ADDRESS: ___________________________________________________________________

TOWN/CITY: _____________________     PROV.: _______     POSTAL: _______ - _______

HOME PHONE: ____________________     BUSINESS PHONE: _______________________

PAID BY:   VISA, M/C, AMEX, DEBIT CARD,  CHQ # _____________   CASH _________

 _________ - __________ - ___________- _________   exp date  ______/_______

DO YOU REQUIRE:  POWER CART ____ YES  ____ NO

EXTRA  MEAL  TICKET:  NAME ___________________________     MEAL TICKET  $ 16.00

SEND PAID ENTRIES TO:

DEVON GOLF & CURLING CLUB

1130 River Valley

DEVON, AB  T9G 1Z3