Friday July 10, 2009
Lacombe Golf & Country Club
1 6000 50th Ave
Lacombe, Ab T4L 1K7
(Click here to download a Printable Form)
Name (last, first):
Address:
Location: Phone:
E-mail:
Fees
Golf Fees, Power Carts, Prizes, Supper
Total amount sent to the ICPA Office: