2015 Fourball Entry Form

2015 Golfbreaks.com PGAs of Europe Fourball Championship Entry Form

CLOSING DATE FOR ENTRIES: Wednesday 14th January 2015, Entry Fee €200
Player 1
Name*
Nationality*
Enter the player's nationality
PGA Membership*
Enter the name of the PGA you are representing (e.g. PGA of Austria)
Sex*

FemaleMale
Email Address*
Enter the player's Email Address
Mobile Telephone Number*
Enter the player's telephone number
Uncheck this box if you do not wish to receive further information from Golfbreaks.com

Tick
Player 2
Name*
Nationality*
Enter the player's nationality
PGA Membership*
Enter the name of the PGA you are representing (e.g. PGA of Austria)
Sex*

FemaleMale
Email Address*
Enter the player's Email Address
Mobile Telephone Number*
Enter the player's telephone number
Uncheck this box if you do not wish to receive further information from Golfbreaks.com

Tick
Payment by Credit Card
FILLING IN THESE DETAILS WILL NOT DEBIT YOUR ACCOUNT NOW - THIS WILL BE DONE MANUALLY BY THE PGAS OF EUROPE AT A LATER DATE
Type of Card*
Name as it appears on card*
Issue Number (Switch Only)
Declaration
I have studied the published conditions of the Championship and confirm that we are eligible to participate and agree to the PGAs of Europe debiting my card details €200 in response to the entry fee.
Signed (Enter your full name)*
Date*

MonthDayYear
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Refund Policy: You are entitled to cancel and receive a full refund up to 17:00 GMT on 14 January 2015. Any cancellation made after this time and before 09.00 GMT on 28 January 2015 will be entitled to a 50% refund. Any cancellations made after 09:00 GMT on 28 January 2015 will not be eligible for a refund.
Should be Empty:

2015 Golfbreaks.com PGAs of Europe Fourball Championship Entry Form

Player 1

Player 2

Payment by Credit Card

Declaration