REGISTRATION DETAILS
Your registration includes
REGISTRATION FORM
Golf Package: $150
PAYMENT
Dinner Only: $50
GOLF + CART
LUNCH + DINNER + PRIZES
Name: ______________________________________
and most importantly
Phone: ______________________________________
A donation in support of
research into the cause and cure of
Parkinson’s Disease!
Email: ______________________________________
Address: ____________________________________
___________________________________________
Fax: ________________________________________
PLEASE NOTE
Cheques should be made payable to:
Parkinson’s Charity Golf Classic
Method of Payment:
Cheque 
Visa 
MasterCard 
Card Number: ______________________________
I would like to play with the following people:
1._______________________________________________
Expiry Date:
______________________________
Name on card: ______________________________
2._______________________________________________
Fax or Mail Registration Forms to:
3._______________________________________________
________________________________________________
Signature: _______________________________________
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:
parkinsonsgolf@gmail.com
For more information please call Susie (x227) or
Teresa (x226) at 905-855-1231.
No.
Golf and Dinner:
Cost Per
$ 150.00
Total
$ 50.00
Dinner Only:
Sorry, I can’t attend but I would like to
make a donation:
Direct Pledges
Please have the following foundations contact me
for a donation (charitable receipts will be issued):
Parkinson Society Canada_________________
SPONSORSHIP LEVELS:
Bronze:
$
25.00
Silver:
$
50.00
www.parkinson.ca
The Michael J. Fox Foundation_____________
Gold:
$ 100.00
www.michaeljfox.org
Platinum (Hole Sponsor):
$ 175.00
My contact information:
TOTAL:
Please note that charitable receipts cannot be issued
due to a change in our tournament format.
Name: _____________________________________
Telephone: _________________________________
Email: ______________________________________
Please Join Us for
AGENDA
SPECIAL THANKS TO OUR 2010
TOURNAMENT SPONSORS
The 15th Annual
HOLE-IN-ONE SPONSORS
Laurie Williamson Pontiac Buick GMC LTD
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)
PLATINUM HOLE SPONSORS
Albatross Restaurant (Jimmy D)  Aviva Insurance Company of Canada
 Century Park  CIBC Small Business (Matthew Little)  Classic Bowl
 Complete Mechanical Services (Randy Humeniski)  CRE Insurance
Services Inc  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 Chartered Accountants  Investors Group (Roger Normandeau) 
Kaneff Group of Companies (Iggy Kaneff)  Lakeside Contracting (Carol
& Ted Diamonti)  Laurie Williamson Pontiac Buick GMC  Lemberg
Investments (Dean Amini)  Mackay & Hughes Limited – Earthfresh
Foods  Mitchell Sandham Pastor Insurance (John Pastor Jr)  New
Concept Coating Inc  Perotta & Sons Paving  Oakvest Group - Scotia
McLeod (Steve Turner)  Tasco Appliances (James Sayer)  Turf Care
Products Canada  Unifay Investments  Viscofan Canada  Weir
Nakon Barristers & Solicitors (Edward Nakon)  Worry Free Janitorial
Services Inc
GOLD SPONSORS
On
Andy Bergman  Jesse Flis  Macy’s Diner and Delicatessen  Nancy &
Dennis Ricketts  Dr. John Waye
Wednesday
MAJOR PRIZE DONORS
June 8th, 2011
Aielli Restaurant  Albatross Restaurant  Beatrice and Frank Kovacs 
Bernard Callebaut Chocolates (Lyle Bleich)  Carmen Inglis 
Chudleigh’s Apple Farm (Tom Chudleigh)  CIBC Manulife Corporate
Park (Loris Faggion)  Classic Bowl  Cowden Woods Design (Ron
Woods)  Dr. Peter Ray  Dr. Randy Lang, Orthodontist  Fedar
Investments  Granite Ridge Golf Club  HR Impact (Fiorella
Callocchia)  Joseph's Estate Wines  Jerry Kelly – Jason Kelly Golf
Classic  KFI Investments (Karl Fay)  James, Kristyn, & Andrew
Klamut  Lucy’s Seafood Kitchen  Macy’s Deli  Mariposa Cruise Lines
 Mercedes-Benz Mississauga  Michael’s Back Door (Michael Morra) 
Molson Breweries  Mysteriously Yours Dinner Theatre  Oakville
Theatre for Performing Arts  Ontario Science Centre  Parkinson’s
Society Canada  Picard Peanuts (John Picard)  Playdium Mississauga
 Silvery Blue Butterfly Spa & Salon  St. Michaels Majors Hockey Club
 Starsky Foods  Stephanie and Andrea Fujarczuk  Unifay
Investments  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.
April is Parkinson’s Awareness Month!
Hosted By:
Granite Ridge Golf Club
milton, Ontario
In support of:
and