Hole In One Insurance Company Name Contact Name Address City Province Postal Code Phone Number Email Address Tournament Name: Golf Course Name: Course Address: City: Province: Postal Code: Date Coverage Required: Number of Amateur Participants: Number of Professional Participants: Hole to Be Insured: Yardage of Hole: Number of Rounds: Coverage Desired: $1,000$5,000$10,000$25,000$50,000$100,000
