Koru Club Pro-Am Registration Form 2010

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Competitor Information
Name:
Address:	City:
Phone:	Mobile:		Fax:
Email:
Koru Club/Airpoints #:	Golf Club:		Handicap:
Spouse/Partner/Non-Player/ Rooming with you
Name:
Koru Club/Airpoints #:	Golf Club:		Handicap:
Shirt Size
MENS M L XL XXL LADIES 8 10 12 14 16 18
Travel Arrangements
Arrive Nadi From: Date: Flight# Arrival Time:
Depart Nadi To: Date: Flight# Departure Time:
Accommodation
The tour package is costed on a share twin basis. including 4 nights accommodation from June 1st.
Player $1398				$
Non-player $948				$
Extra nights @ $135 per person per night twin share
Please book nights prior to the Koru Club & Pro-Am at Denarau.				$
Please book nights post the Koru Club & Pro-Am at Denarau.				$
Upgrade to one bedroom Villa suite @ $35.00 per person Per night				$
Total: $
Payments Full payment will be due by the 1st of May 2010; all deposits will become non refundable 28 days prior to commencement of the event. I am paying
Credit Card Type:	No:
Expiry Date:	Amount:	$