PACIFIC GOLF

Koru Club & Airpoints Pro-Am Registration Form 2012

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 May 30th.
Player $NZ1435				$
Non-player $NZ948				$
Extra nights @ $NZ140 per person per night twin share, including breakfast
Please book nights prior to the Koru Club & Airpoints Pro-Am at Denarau.				$
Please book nights post the Koru Club & Airpoints Pro-Am at Denarau.				$
Total: $
Payments Full payment will be due by the 1st of May 2012; all deposits will become non refundable 35 days prior to commencement of the event. Tour cost is based on August 20th 2011 exchange rates and could be subject to change due to currency fluctuations. If paying by credit card there will be the following surcharges, Visa & Master Card 1.6%, Amex and Diners Club 2.9%. I am paying
Credit Card Type:	No:
Expiry Date:	Amount:	$