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INDIVIDUAL REGISTRATION FORM FOR SAINT-TROPEZ LADIES' AMATEUR 2012

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
ACCOMMODATION REQUEST / ROOM TYPE      SINGLE      DOUBLE
       


SPECIAL REQUESTS




COST SUMMARY

LADIES' AMATEUR WITHOUT ACCOMMODATION

AMATEUR PLAYER ....................................................................................................... 900 €
MEMBER GASSIN GOLF COUNTRY CLUB .................................................................... 600 €
NON PLAYER GUEST .................................................................................................... 500 €
TOTAL  


REGISTRATION WILL BE CONFIRMED ONLY AFTER RECEIVING FULL PAYMENT
IN CASE OF CANCELLATION FULL REIMBURSEMENT EXCEPT 200 € BEFORE MAY 18, 2011
NO REIMBURSEMENT AFTER MAY 18, 2012

METHOD OF PAYMENT

PAYMENT BY PAYPAL

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

BY CHECK TO PSO PRODUCTION LTD
SENT TO THE FOLLOWING ADDRESS : 
 PSO PRODUCTION LTD
  44 MORNINGSIDE ROAD #234
 EDINBURGH, EH10 4BF, SCOTLAND, UK