ENTRY FORM September 17-20, 2009

Mail your Entry to:                                                   PROPOSED TOP PRIZE MONEY
            SHORTY JENKINS CLASSIC                     MEN                             $9000
            c/o Brockville Country Club                             LADIES                        $5000
            P.O. Box 42                                                   Plus Round-Robin earnings
            Brockville, ON. K6V 5T7
Or FAX your Entry to:                                               5 Games Guaranteed
            1-(613)-342-0087                                            — MEN’S and LADIES’

Please enter our rink in the 13^th Annual Shorty Jenkins Classic. Our cheque, payable to Shorty Jenkins Classic,
dated no later than September 1, 2009 is enclosed. Faxed Entries will NOT be confirmed until the cheque is received.

TEAM NAME:
SKIP:
VICE:
SECOND:
LEAD:
CLUB:

CONTACT INFORMATION (please fill out ALL below. Please write CLEARLY):

NAME:
ADDRESS:
CITY/PROV:		POSTAL CODE:
HOME PHONE:		BUS. PHONE:
FAX NUMBER:
E-MAIL:

MEN’S ENTRY FEE: $1000 (24 TEAMS ONLY) LADIES’ ENTRY FEE: $700 (12 TEAMS ONLY) Entry includes WCT/OCT fees
For more information contact Gord McCrady @ gmccrady@cogeco.ca
Don’t delay. Get your entries in as soon as possible.
Entries without entry fees will not be considered.

Any team wishing to purchase their Team Sponsorship is free to do
so. Price is $325 plus GST. Please provide sponsor’s name and logo.