REGISTRATION 2026

Please note: It is very important to return this form with your payment so that we can keep our membership list up to date.

Name

Address

City

Postal code

Date of birth

Home phone

Work phone

Name

Date of birth

Child 1 — Name

Date of birth

Child 2 — Name

Date of birth

Child 3 — Name

Date of birth

For direct deposit

Institution: 815

Transit: 60038

Account (folio): 4673000

Payment method

Debit / credit card Cheque Postdated cheque

Amount paid

Date

Make payment payable to: Club de Golf de la Vallée du Témiscouata
265 Chemin du Golf, St-Louis du HA! Ha!, Québec G0L 3S0

Registration