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ROTARY CLUB BALI NUSA DUA
9th Annual Charity Golf Tournament
Saturday, September 1, 2007
Bali Golf & Country Club, Nusa Dua

Entry Form
Please fill in as needed
 
 Your Information
  Name  Address 
  Phone  Mobile phone 
  Fax.   Email 
 
 Please tick the box for entry fee
Golfers (includes awards dinner) Rp.
Non Golfers, (awards dinner only) Rp.
Total  Rp.
 
 PAYMENT METHOD, BEFORE and LATEST, Wednesday, August 29, 2007 at 5.00 p.m
 Payment may be made by Cash or Credit Card
By Credit Card.
Please click Continue to review your Entry Form and for payment instructions. Please note that credit card payments are subject to a credit card processing charge of 3%.

Note: We Do Not collect any personal or credit card information through this site or from this form.
 
 
Name
Card Number
Exp. date
 
Credit Card
CVC  what is this?
   
   
By Cash.
Please click Continue to review your Entry Form and for payment instructions.

Please review your entry form and if correct print it out and bring it to Bali Golf and Country Club, Kawasan Wisata Nusa Dua, Bali.
 

"Service above self"