NERA GOLF OUTING REGISTRATION
GOLFER INFORMATION
Name and Company Name
Full Name
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
ADDITIONAL GOLFER'S IN THE GROUP INFORMATION
Do you wish to add additional golfers in your group? If so, there is a discounted rate of $439 for signing up as a 4 some.
Please Select
1 Additional Golfer
2 Additional Golfers
3 Additional Golfers
1 Additional Golfer
Name and Company Name
Full Name
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
2 Additional Golfers
Name and Company Name
Full Name
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
3 Additional Golfers
Name and Company Name
Full Name
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Do you need to rent a set of golf clubs for $100.00?
Yes, I would like to rent a left handed set of golf clubs
Yes, I would like to rent a right handed set of golf clubs
No, I do not need to rent clubs
Would you be interested in donating merchandise to use in the goodie bags?
Yes, I would like to make a donation
No, I am not interested in making a donation
Would you be interested in becoming a sponsor for this event?
Tee Box $100
Bar $250
Lunch $500
No, I am not interested at this point
Please select your purchases and continue to checkout:
prev
next
( X )
Number of Golfers in you group?
There is a discounted rate of $439 for signing up as a 4 some.
$
119.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Number of Golf Clubs you will be renting?
$
100.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
I would like to sponsor the Tee Box for this event $100.
$
100.00
Quantity
1
Item subtotal:
$
0.00
I would like to sponsor the bar for this event $250.
$
250.00
Quantity
1
Item subtotal:
$
0.00
I would like to sponsor Lunch for this event $500.
$
500.00
Quantity
1
Item subtotal:
$
0.00
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