INDIVIDUAL REGISTRATION FORM FOR FIBC 2010 OR PRO-AM 2010

FIRST NAME*: LAST NAME*:
COMPANY: FUNCTION:
ADRESS : CITY*:
ZIP CODE: COUNTRY:
GOLF CLUB: CITY:
INDEX: LICENCE NO:
MOBILE NUMBER*: E-MAIL*:
POLO SHIRT SIZE:            S      M      L      XL      XXL
ACCOMMODATION REQUEST / ROOM TYPE      SINGLE      DOUBLE
               


SPECIAL REQUESTS




COST SUMMARY

FRANCE / INDIA BUSINESS CUP WITHOUT ACCOMMODATION

PLAYER................................................................................................................................900 €
NON PLAYER GUEST.......................................................................................................... 500 €


INDIAN SUMMER PAN DEI TROPHY WITHOUT ACCOMMODATION

PRO-AM INDIVIDUAL AMATEUR ..................................................................................... 1200 €
NON GOLFER GUEST ...........................................................................................................600 €
TOTAL   €


REGISTRATION WILL BE CONFIRMED ONLY AFTER RECEIVING FULL PAYMENT
IN CASE OF CANCELLATION FULL REIMBURSEMENT EXCEPT 200 € BEFORE AUGUST 15, 2010
NO REIMBURSEMENT AFTER AUGUST 15, 2010

HOTEL PARTNERS NEGOCIATED RATES          250 € / SINGLE      400 € / DOUBLE
ROOM BOOKING TO BE DONE BY PSO PRODUCTION AND TO BE PAID DIRECTLY BY GUEST TO THE HOTEL THE DAY OF DEPARTURE

METHOD OF PAYMENT

BANK WIRE TRANSFER
TO PSO PRODUCTION LTD / EURO ACCOUNT
ING BELGIUM (BRUSSELS)
IBAN : BE86 3101 7739 9750
SWIFT CODE: BBRU-BE-BB