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Player 1 (as per passport) *

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Partner or Player 2 (as per passport)

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Last Name

Phone *

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Address

Address 1

Address 2

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Emergency Contact - Name *

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Time

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Date

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Time

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Room Type

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Twin

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Choose method for deposit payment - $1,000 per person is required to confirm your booking.

# 38-9027-0082617-00 / ACCOUNT NAME: The 19th Golf Experiences Limited

BANK Transfer (Details Above)

Credit Card via Invoice (2.7% surcharge)

I confirm that the above information is correct and agree to the Terms & Conditions of The 19th Global Golf Experiences. *

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