ACTE XIII, Tampa, Florida

Registration

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
You may call 1 800 375 ACTE for questions or more information. Outside US/Canada please call 1-262-763-1902
1) Registration Form (All fields are required unless marked with a "*".)
Name
Title
Company
Address
Address 2*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail
Registration Fee:	Sponsored Hole Foursome ($1,000) Number of Foursomes: Golf Only Foursome ($700) Number of Foursomes: Twosome ($350) Single ($175)
Other Sponsorship Opportunities:	Breakfast...�� .$1,250 Beverage Station/Cart ��..�. $1,250 SOLD Driving Range��...��. $1,000 Putting Green ��...�. $1,000 Lunch��...��..�.$2,000 Hole-in-one Contest .....................$1,000 Golf Cart Signage��..��$1,000
Number of Foursomes
Total Cost
Payment:	American Express Diners Club Eurocard/MasterCard Visa
Cardholder Name
Card Number
Expiration Date
(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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