Piccolo Grande -- 'Round The World Challenge Form

Please print out this page, fill in the form, and return it to: Piccolo Grande 102-55 Murray St. Ottawa, Ontario, K1N 5M3 (613) 241-2909, http://www.piccologrande.com/, gelato@piccologrande.com.

This is a fun tournament! We will play best ball, real best ball. That means that everyone holes out, and you count the best score as the score for the group.

Annual Piccolo Grande 'Round the World Challenge Golf Tourney

Name:____________________________________________

Address:__________________________________________

City:_____________________________________________

Postal Code:________________________________________

Email:____________________________________________

Phone #'s:_________________________________________

Credit Card # (Visa, Amex and Mastercard)____________________________________

Expiry date:________________________________________

If you want to pay by cheque please include a cheque for $85 payable to Piccolo Grande.