UKRAINIAN GOLF ASSOCIATION OF CANADA

Ukrainian Golf Association of Canada

REGISTRATION FORM

The purpose of the UGAC is to develop opportunities for competitive golf and reinforce the social network among Ukrainian community golfers. The UGAC is an independent organizing body for competitive golf in the Ukrainian-Canadian community and the primary liaison group for similar Ukrainian community golf groups and associations in other countries with a focus for the continuation of international competitions.

Date: ............................................... Male / Female: ..............

Name: ...........................................................................................................

Golf Handicap: .............. Official / Unofficial: ............... Shirt Size: ..............

Home Address:

Street: ............................................................................................................

City: ................................................................................................................

Province: .............................................................. Postal Code: .....................

Telephone: Home: ( ......... ) ...................... Business: ( ......... ) ..........................

E-mail: ............................................................................................................

Identify preferred method of receiving correspondence:

E-mail: ............ Hard copy Snail-mail: ............

Golf Memberships or affiliations (clubs or associations):

........................................................................................................................

Annual Membership Dues: Date received: ........................................

Payment enclosed: $.............................. For calendar year(s): ........................

Method of Payment: Cash: ............ Cheque: .............. Other: .......................

NOTE THAT PAYMENT OF MEMBERSHIP DUES MUST ACCOMPANY THIS FORM BEFORE REGISTRATION CAN BE RECOGNIZED. NON-PAID REGISTRANTS WILL BE SUBJECT TO SURCHARGES AT UGAC EVENTS AS WOULD NON-MEMBER GUESTS.

Contact the UGAC c/o: Bohdan Kushnir

14 Appleby Court, Toronto, Ontario M9B 5A2

phone: 416/ 232 0998, E-mail: UGAC@sympatico.ca