Prize Donation Form

Fields marked * require an entry.

PRIZE DONATION FORM

We are looking for your help! We are accepting prize donations to provide to our golfers. If you would like to contribute items or gift cards they will be used for team and performance prizing (team & performance prize descriptions are subject to change).

Team Prizes (4 of the same, one for each golfer in a team) i.e.:

First Place
Middle of the Pack
Last Place
Speed Hole
Random Draw

Performance Prizes

Men's Closest to the Pin (KP)
Ladies Closest to the Pin (KP)
Men's Longest Drive
Ladies Longest Drive
Mega Putt Challenge

Prize donations must be received no later than August 31, 2023. Please send to the Canucks for Kids Fund at 89 W. Georgia Street, Vancouver, BC V6B 0N8. Attention Diana Campbell.

If you would prefer to have us pick up, please contact Diana at 604-899-7499 to make arrangements.

Cash donations are graciously accepted for the event. Donor will receive a tax receipt for donations over $50:

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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