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Registration
2026 Dale Rempel Memorial Golf Tournament
Hole Sponsor
$1300.00
includes 2 hole representatives and 2 tickets to the post-golf reception, additional hole representative tickets can be purchased separately
First Name
Last Name
Company/Organization
Address
City
Phone
Province/State
== choose one ==
-- Province --
AB
BC
MB
NB
NL
NT
NS
ON
PE
QC
SK
YT
-- State --
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MR
MS
MT
NC
ND
NE
NH
NJ
NM
NN
NV
NY
OH
OK
OR
PA
PL
PO
PR
RI
SC
SD
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
Outside Canada/US
Postal/Zip Code
Email
We will have representatives at our sponsorship hole.
Yes
No
Other:
The attendees at our hole will be(please list all names):
We will have the following game/giveaway:
We require the following(table, chairs, etc..)
Office use only:
