Golf Day Registration

ARCHIBALD AND SHORTER ROVERLAND GOLF TOURNAMENT

Friday 2nd December 2011

The Grange Golf Club


REGISTRATION FORM

Please return the Registration form by no later than
Wednesday 18th of November 2011

FAX NUMBER: (09) 917-9427
Or
P O Box 17-019 Greenlane, Auckland
Or
EMAIL:receptionj@archibaldandshorter.co.nz

Due to our extended database, numbers on the day are strictly limited and may need to be restricted to ‘a first come first serve basis”.

Participant:*

Participant:

I would like to play in the Archibald & Shorter Roverland 2011 Golf Tournament:

I would like to play in the Archibald & Shorter Roverland 2011 Golf Tournament:

Yes
No

My Email is:*

My Email is:

My daytime contact telephone number is:*

My daytime contact telephone number is:

My mobile number is:

My mobile number is:

My current vehicle is:

My current vehicle is:

Year:

Year:

Rego No:

Rego No:

My shirt-size is:

 

Mens:

Mens:

Ladies:

Ladies:

My Handicap index is:

My Handicap index is:

7 Digit Membership Number is:*

7 Digit Membership Number is:

Name of Members Golf Club:

Name of Members Golf Club:

Please tick the box if you wish to be removed from our Golf Database:

Please tick the box if you wish to be removed from our Golf Database:

Yes

Security Code: