TEAM REGISTRATION FORM FOR PRO-AM 2010

GOLF PRO

FIRST NAME: LAST NAME:
ADRESS : CITY:
ZIP CODE: COUNTRY:
GOLF CLUB: CITY:
MOBILE NUMBER: E-MAIL:
POLO SHIRT SIZE:            S
ACCOMMODATION REQUEST / ROOM TYPE     
WED 14/10    THU 15/10    FRI 16/10


AMATEUR 1

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
ACCOMMODATION REQUEST / ROOM TYPE     
WED 14/10    THU 15/10    FRI 16/10


AMATEUR 2

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
ACCOMMODATION REQUEST / ROOM TYPE     
WED 14/10    THU 15/10    FRI 16/10


AMATEUR 3

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
ACCOMMODATION REQUEST / ROOM TYPE     
WED 14/10    THU 15/10    FRI 16/10


CONTACT PERSON FOR THE TEAM

NAME: EMAIL*:
MOBILE NUMBER :  


SPECIAL REQUESTS





COST SUMMARY

INDIAN SUMMER PAN DEI TROPHY without accomodation

PRO...............................................................................................................................FREE
PRO-AM TEAM..................................................................................... 1200 € x 3 = 3600 €
NON GOLFER PARTNER...........................................................................................600 € x
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