Sign up Charity Golf Day 2017

Country*
State / Province*
Address*
City*
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Email*
Confirm Email*
Phone*

Additional Details

HANDICAP INFORMATION

Please enter your and your teams handicap details below in the format of "NAME - HANDICAP".

 

If you do not have these available at the time of signing up, please specify this in the below text box and email them to Natasha.Iles@eikon.org.uk by the 1st February 2017. 

Handicap Information*

DIETARY REQUIREMENTS

Please specify any dietary requirements that you, or your team mates have (please include names of those this dietary requirement applies too also).

Dietary Requirements

TEAM NAME

 

Please enter your Team Name below:

Team Name*

Stay in touch

We will need to contact you to let you know important information about the event and we'd like to let you know about the work you are helping us to achieve and other exciting events you may be interested in getting involved with. 

 

Eikon promise never to pass your personal details on to a third party and ensure all information is kept safe and secure on our database. You have the right to unsubscribe from communication at any time. 

Event Entry

Quantity
Price
Total
Individual Entry

Select this option if you would like to pay for your entry fee individually.

X
£
100.00=
£
0

Individual Entry - Build a Team

This option is to enter as an Individual intending to bring a fourball for Eikon's Golf Day.

X
£
100.00=
£
0

Team Entry

This option is to enter a fourball for Eikon's Golf Day. Please insert the names of the individuals in your team in the 'Additional Comments' box.

X
£
400.00=
£
0

Final Total:
£
0

Payment Information

Amount*
£
Name on Card*
Card Number*

Security Code