ACTE/MasterCard Vancouver Golf Challenge
Sunday, 1 May 2005
Registration Form
(All fields are required unless marked with a "*".)
First Name
Last Name
Informal Name
Business Title
Company
Address
Address 2*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail
Please select one:
$125 USD - Single Golfer
$500 USD - Foursome
Payment:
Check
American Express
Diners Club
MasterCard/Eurocard
Visa
Cardholder Name
Card Number
Exp Date
Comments
Cancellation Policy - A cancellation fee of $125 for a foursome and $30 for a single player will apply to any cancellations received after April 1, 2005.
Note: If you would like to keep 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 U.S./Canada please call 1-262-763-1902.
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