REGISTRATION DETAILS REGISTRATION FORM PAYMENT

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R

EGISTRATION

D

ETAILS

Your registration includes

G

OLF

+ C

ART

L

UNCH

+ D

INNER

+ P

RIZES

and a donation in support of research into the cause and cure of

Parkinson’s Disease!

E

ARLY

B

IRD

D

RAW

Paid registration by May 7 th will qualify you for our early bird prize draw.

Fax or Mail Registration Forms to:

Parkinson’s Charity Golf Classic c/o Susie Klamut or Teresa Fay

Unifay Fedar Group

2257 Royal Windsor Drive, Unit A

Mississauga, ON L5J 1K5

FAX 905-855-1233

Email registration information to: sklamut@unifayfedar.com or teresafay@unifayfedar.com

For more information please call Susie (x227) or

Teresa (x226) at 905-855-1231.

R

EGISTRATION

F

ORM

Golf Package: $150 Dinner Only: $50

Name: ______________________________________

Address: ____________________________________

___________________________________________

Phone: ______________________________________

Fax: ________________________________________

Email: ______________________________________

I would like to play with the following people:

1._______________________________________________

2._______________________________________________

3._______________________________________________

Golf and Dinner:

No. Cost Per

$ 150.00

Dinner Only:

$ 50.00

Sorry, I can’t attend but I would like to make a donation:

Total

SPONSORSHIP LEVELS:

Bronze:

Silver:

Gold:

$ 25.00

$ 50.00

$ 100.00

$ 175.00

Platinum (Hole Sponsor) :

TOTAL:

Please note that charitable receipts cannot be issued due to a change in our tournament format.

P

AYMENT

NEW THIS YEAR

Cheques should be made payable to:

Parkinson’s Charity Golf Classic

Method of Payment:

Cheque  Visa  MasterCard

Card Number: ______________________________

Expiry Date: ______________________________

Name on card: ______________________________

________________________________________________

Signature: _______________________________________

Direct Pledges

Please have the following foundations contact me for a donation (charitable receipts will be issued):

Parkinson Society Canada_________________  www.parkinson.ca

The Michael J. Fox Foundation_____________  www.michaeljfox.org

My contact information:

Name: _____________________________________

Telephone: _________________________________

Email: ______________________________________

A

GENDA

Registration: 11:00 am

Lunch: 11:30 am

Shot Gun: 1:00 pm

18 Hole Scramble or

Individual Play

Reception: 6:00 pm

Dinner: 7:00 pm

For More Information: (905) 855-1231

Susie Klamut (x227)

Teresa Fay (x226)

Carmen Inglis (x222)

April is Parkinson’s Awareness Month!

SPECIAL THANKS TO OUR 2009

TOURNAMENT SPONSORS

HOLE-IN-ONE SPONSORS

Laurie Williamson Pontiac Buick GMC LTD

Arctic Spas (Trevor Wasny)

LUNCH SPONSOR

Mitchell Sandham Pastor Insurance (John Pastor Jr)

WINE SPONSOR

Barefoot Wine (Michael Craig)

PLAYER GIFT SPONSOR

Green, Chencinski, Starkman, and Eles Chartered Accountants

PLATINUM HOLE SPONSORS

Albatross Restaurant (Jimmy D)  CIBC Lakeshore & Stavebank

(Matthew Little)

Classic Bowl

Complete Mechanical Services (Randy

Humeniski)  CRE Insurance  D&D Greenery (Kris & Derek)  Debron

Investments (Ron Flom, Barrister)  Diamed Lab Supplies (Derek

Johnson)  Dufferin Water Supply  Fairview Pharmacy (Anju & Ted

Fujarczuk)  Fasken Martineau DuMoulin (Corina Weigl; Howard Carr) 

Fedar Investments

Granite Ridge Golf Club

Green Chencinski

Starkman Eles  Investors Group (Roger Normandeau)  Lakeside

Contracting (Carol & Ted Diamonti)

Laurie Williamson Pontiac Buick

GMC  Lemberg Investments (Dean Amini)  McDowell Insurance 

Mitchell Sandham Pastor Insurance  Paint & Flooring Warehouse

(Carmelo Guidice)  Perotta & Sons Paving  Scotia McLeod (Steve

Turner)  Sentinel DEC Systems  Sovereign Insurance  Tasco

Appliances (James Sayer)

Unifay Investments

Weir Nakon

Barristers & Solicitors (Edward Nakon)

GOLD SPONSORS

Diane Pogorzelski  Mackey & Hughes  Nancy & Dennis Ricketts

SILVER SPONSORS

Joan Christie

Michael Holl

Jerry Kelly

Frank & Beatrice Kovacs

MAJOR PRIZE DONORS

Arctic Spas

Barefoot Wines

Bernard Callebaut Chocolates (Lyle

Bleich)  June Brockett  Chateau des Charmes Wines  Chudleigh’s

Apple Farm (Tom Chudleigh)  CIBC Manulife Corporate Park (Loris

Faggion)  Classic Bowl  cM Benefits (Anthony Feher)  Cora's

Restaurant (Paul and Lise Vienneau)  Cowden Woods Design (Ron

Woods)

CRE Insurance

Denny's Car Wash (Dennis Kulla)

Energy

Telecom (Ted McLean)  Fedar Investments  Stephanie & Andrea

Fujarczuk  Gabriel’s Restorante Bar & Grill  Granite Ridge Golf Club

 Hamilton Tiger Cats  HR Impact (Fiorella Callocchia)  Carmen

Inglis  Joseph's Estate Wines  Jerry Kelly  KFI Investments (Karl

Fay)

James, Kristyn, & Andrew Klamut

Frank & Beatrice Kovacs

La Costa Nuova Restaurant  Lakeview Cellars  Dr. Randy Lang,

Orthodontist

Lucy’s Seafood Kitchen

Barb & Bill Maclean

Macy’s

Deli  Mariposa Cruise Lines  Mercedes Benz  Mississauga Metro

Foods Southdown Plaza  Michael Holl  Michael’s Back Door (Michael

Morra)  Mississauga News  Molson Breweries  Mysteriously Yours

Dinner Theatre  Oakville Theatre for Performing Arts  Ontario

Science Centre

Osler, Hoskin & Harcourt LLP

Pepperwood

Restaurant  Picard Peanuts (John Picard)  Dr. Peter Ray 

Rosewood Bistro

Silvery Blue Butterfly Spa & Salon

Sovereign

Insurance  St. Michaels Majors Hockey Club  Stratford Festival 

Toronto Raptors Basketball Club  Unifay Investments  Walkers

Fishmarket Restaurant

Wella (Yvonne Sharples)

Zap Con Cutting &

Coring (Paul Zapparolli) 

We sincerely apologize to any sponsor or donor whose name may have been omitted in error.

Please Join Us for

The 14

th

Annual

On

Hosted By:

Wednesday

June 9

th

, 2010

Granite Ridge Golf Club milton, ontario

In support of: and

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