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GOLF BOOKING FORM
I would like to enter as an Individual golfer to play in a team @ £90
£
I would like to enter as an individual golfer to play in a three ball team
with a celebrity @ £165
£
Please reserve
Teams x 4 @ £360 per team
£
Please reserve
Teams x 3 (4th is a celebrity) @ £495 per team
£
Please reserve
as my team's dinner guests @ £38 per person
(subject to availability)
£
I wish to reserve
buggy at £35
£
Please contact me with regard to sponsorship of a Hole on the course Yes
Holes 9 and 10 £200, Hole 18 £250 – Other holes £100. Putting Green £150
I wish to reserve
places at the Sports Quiz on the 8th September at £15
£
I am unable to participate this year so would like to make a donation to the charity
£
TOTAL £
Team Name 1
Team Captain
Team Name 2
Team Captain
Team Name 3
Team Captain
Team Name 4
Team Captain
Individual Player
Contact Email
Contact Telephone Number
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Write the billing details
Card Holder
Bill Address
Bill Address
Bill City
Bill County
Bill Postcode
Bill Country
Bill Email
Bill Telephone
Write the shipping details
Name
Address
Address
City
County
Postcode
Country
Thank you for supporting ACTION MEDICAL RESEARCH and "Touching Tiny Lives"
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