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Asia Championship Tour 2019

March 26th - April 6th

Please note by completing this form you agree you have read and understood the tour booking conditions.

Competitor's Name (as it appears on your passport)

Phone

Mobile

Passport #

Expiry Date

Email Address *

Golf Club

Handicap

Rooming Single Room Twin Share Room

Rooming with

Shirt Size (Men's) S M L XL XXL XXXL

Flight Details

Arrive Siem Reap

Date

Flight #

From

Arrival Time (____AM/PM)

Depart Siem Reap

Date

Flight # to Bangkok

Departure Time (____AM/PM)

Depart Bangkok

Date

Flight #

Departure Time (____AM/PM)

Tour Ground Package Cost 12 days / 11nights from March 26th

The tour cost is based on a minimum of 16 people participating

Twin Share Room $AU3865.00 / $NZ4198.00

Single Room Supplement 10 Nights $AU1091.00 $NZ1186.00

Extra Nights

Sokhar Angkor Resort prior to tour $NZ per room per night including breakfast

Please book __ nights

Westin Bangkok after the tour $NZ per room per night including breakfast

Please book ___ nights

Total

Payments

A deposit of $600.00 is due with the booking form and full payment is due on the 20th of January 2019

Direct credit your payment:

In New Zealand pay,Pacific Golf Management, ANZ Bank, Orewa Branch - Account # 060 115 0115393 00

In Australia pay- Richard Ellis, Westpac Noosa Branch- BSB# 034-655 Account # 351181

Credit Card Type

Card #

Expiry Date

Amount $

Name On Card

If paying by credit card there is a bank transaction fee of 2.3% for Visa or Master Card and 2.9% for Amex

All credit card payments will be charged in NZ dollars

PLEASE CLICK HERE TO DOWNLOAD AND READ OUR BOOKING CONDITIONS.

By completing this registration form you agree you have read and understand the event Booking Conditions

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