Register
Three Ways!
1)
Submit completed form online (below).
2)
Fax completed form to 1-262-763-7037.
3)
If paying by check, mail completed form to:
ACTE
Registration Office
111 South Pine Street
PO Box 395
Burlington, WI 53105
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You
may call 1 800 375 ACTE for questions or more
information. Outside US/Canada please call 1-262-763-1902
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1)
Registration Form (All
fields are required unless marked with a "*".) |
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Name
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Title
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Company
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Address
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Address
2*
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City
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State/Province*
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Zip/Postal
Code
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Country
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Telephone
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Facsimile*
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E-Mail
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Registration
Fee:
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Sponsored Hole Foursome ($1,000)
Number of Foursomes:
Golf Only Foursome ($700)
Number of Foursomes:
Twosome ($350)
Single
($175)
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Other
Sponsorship Opportunities:
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Breakfast...
.$1,250
Beverage
Station/Cart
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. $1,250 SOLD
Driving
Range
...
. $1,000
Putting
Green
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. $1,000
Lunch
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.$2,000
Hole-in-one
Contest .....................$1,000
Golf
Cart Signage
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$1,000 |
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Number of Foursomes
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Total Cost
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Payment:
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American Express
Diners Club
Eurocard/MasterCard
Visa |
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Cardholder
Name
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Card
Number
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Expiration
Date
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(Note: If you require a copy of this registration
please
print using your browser's print feature before
submitting this form.)
You
may call 1 800 375 ACTE for questions or
more information.
Outside US/Canada please call 1-262-763-1902.
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