CHARITY GOLF DAY 2015FRIDAY 18TH SEPTEMBER

West Byfleet Golf Club, Sheerwater Road, West Byfleet, Surrey, KT14 6AA

CHARITY GOLF DAY IN AID OF EIKON

Teams of FOUR will play one round of Stableford Golf. The maximum handicap is 28 for men, 36 for ladies.

Entry is £70 per player (£280 per team). A deposit of £10 per person will be required to secure the team’s entry application. The cost includes coffee and fruit on arrival, green fee, dinner, evening entertainment and donation to the charity.

Closing date for entries is 1st August 2015.

Please note that any drop-outs or cancellations from reserved teams will be charged at the full rate.

BOOKING FORMPlease reserve one team of four players (£10 per player deposit). Complete one form per team.

Team Name:

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

IndividualsName: ____________________________________________________________

Company:Address: ____________________________________________________________Postcode: ____________________________________________________________Tel: ____________________________________________________________E-mail: ____________________________________________________________

Please make cheques payable to Eikon and return with this booking form by Thursday 1stAugust 2014 to “Golf Day”, Eikon, Selsdon Road, New Haw, Addlestone, Surrey, KT153HP.

PLAYER 1

Name: ____________________________________________________________________

Email: ____________________________________________________________________

Handicap No: _______

Staying for Dinner? ____________________________________________________________________

Dietary Requirements ____________________________________________________________________

PLAYER 2

Name: ________________________________________________________________

Email: ________________________________________________________________

Handicap No: _______

Staying for Dinner? ________________________________________________________________

Dietary Requirements ________________________________________________________________

PLAYER 3

Name: ________________________________________________________________

Email: ________________________________________________________________

Handicap No: _______

Staying for Dinner? ________________________________________________________________

Dietary Requirements ________________________________________________________________

PLAYER 4

Name: ________________________________________________________________

Email: ________________________________________________________________

Handicap No: _______

Staying for Dinner? ________________________________________________________________

Dietary Requirements ________________________________________________________________

Would you like to invite any additional guests to the evening dinner? (Y/N) _________If yes, how many? __________

Please note guests are charged at an additional rate of £25pp which will be added to your final owing amount.

Would you like to stay to watch our exclusive viewing of England Vs Fiji in the Rugby World Cup at 8:00pm? (Y/N) ____________

Please let us know if you would like to invite additional family or friends to watch this rugby game. We politely request that anyone coming to watch makes a small donation to contribute towards our fundraising efforts for the day.

Other ways of supporting Eikon

I am interested in sponsorship opportunities for the event; please contact me with more details (Y/N)

I would like to donate an item/s for the auction or raffle (Y/N)

I am unable to play golf would like to attend the dinner (Y/N)

I am unable to attend but would like to make a donation (Y/N)

To donate online to Eikon please visit our website at www.eikon.org.uk, alternatively please contact the charity for bank details at info@eikon.org.uk or send a cheque to the address below (made payable to Eikon).

Please send this form to:

Heather BoardmanEvent Manager01932 347 434 Heather.boardman@eikon.org.uk

The Eikon CharitySelsdon Road,New Haw,Addlestone,Surrey,KT15 3HP