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8th ANNUAL EMBASSY GOLF TOURNAMENT
REGISTRATION FORM

To register, please fill out the form below.

PLAYER INFORMATION


Full Name
Male Female      Handicap
Full Address
Phone
Cell
Company/Embassy
Email
 
Full Name
Male Female      Handicap
Full Address
Phone
Cell
Company/Embassy
Email
 
Full Name
Male Female      Handicap
Full Address
Phone
Cell
Company/Embassy
Email
 
Full Name
Male Female      Handicap
Full Address
Phone
Cell
Company/Embassy
Email

** RSVP BY MARCH 16, 2012 FOR EARLY BIRD RATES **


NUMBER OF GOLFERS

    Regular Early Bird*  
Individual
$185
$165
Foursome
$700
$620
Embassy Official
$145
$130
Embassy Foresome
$540
$460

TOTAL DUE:


PAYMENT INFORMATION

  Name (as appears on card)
Payment Method
Expiration
 Month Year
Card Number


Billing Address

 

 
Example: 1111-2222-3333-4444

*We use a secure server to process your credit information