THE WASHINGTON DIPLOMAT

6th 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 APRIL 27, 2010 **

NUMBER OF GOLFERS

    Regular Number of Players 
Individual
$170
Team (4)
$640
Embassy Official
$130
Embassy Team (4)
$480

TOTAL DUE:

 

 

 

 

 

 

 


PAYMENT INFORMATION

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

Billing Address

 

 
Example: 1111222233334444

*We use a secure server to process your credit information