Last Name: First Name: Company Name AWS
Please print clearly or type. Submit a separate form for each registrant.
Last Name:_______________________________________ First Name:____________________________________ Company Name: __________________________________ Job Title: ____________________________________ Level of Golf Experience: Never played
New golfer Beginner Intermediate Advanced
Primary Phone:___________________________________ email: _________________________________________ Address:_________________________________________ City:_____________________________State:_________
EWGA One-Day Experience $175 registration fee includes: Breakfast, luncheon and networking with hundreds of professional women Morning keynote presentation; morning breakout sessions; luncheon presentation Afternoon breakout sessions, ‘Empowerment’ sessions and General Session, “You Can Have it All” Whether you already play golf for business or for fun, or need an environment to grow your skills or just learn the game and what it reveals about you, this one-day experience is a great start! Method of Payment: Check in the amount of $175 is enclosed (US funds, payable to “EWGA”) Charge $175 to the credit/debit card as provided below Please Print Name as it appears on Card _______________________________________________________________ Cardholder Signature_______________________________________________________________________________ (Submission of this application constitutes acceptance of the EWGA Release and Indemnification Agreement found on www.ewga.com/release)
Credit or debit card to be used: American Express Exp.(MM/YY) ____/_____
MasterCard/Visa
Discover
Credit Card Number ___________________________________________________________ Security Code _______ Questions? Call (561) 691-0096 x 12 or send email inquiry to: [email protected] Registration Deadline: April 25, 2013. Submit completed form by fax (561) 691-0012, email: [email protected] or mail to EWGA Headquarters at: 300 Avenue of the Champions, Suite #140, Palm Beach Gardens, FL 33418-3615. Should you require housing, please call Westin Hilton Head Island Resort & Spa Group Reservations at (843) 681-4000 Ext. 7097 and mention “EWGA” when making your reservation.
Last Name:_______________________________________ First Name:____________________________________ Company Name: __________________________________ Job Title: ____________________________________ Level of Golf Experience: Never played
New golfer Beginner Intermediate Advanced
Primary Phone:___________________________________ email: _________________________________________ Address:_________________________________________ City:_____________________________State:_________
EWGA One-Day Experience $175 registration fee includes: Breakfast, luncheon and networking with hundreds of professional women Morning keynote presentation; morning breakout sessions; luncheon presentation Afternoon breakout sessions, ‘Empowerment’ sessions and General Session, “You Can Have it All” Whether you already play golf for business or for fun, or need an environment to grow your skills or just learn the game and what it reveals about you, this one-day experience is a great start! Method of Payment: Check in the amount of $175 is enclosed (US funds, payable to “EWGA”) Charge $175 to the credit/debit card as provided below Please Print Name as it appears on Card _______________________________________________________________ Cardholder Signature_______________________________________________________________________________ (Submission of this application constitutes acceptance of the EWGA Release and Indemnification Agreement found on www.ewga.com/release)
Credit or debit card to be used: American Express Exp.(MM/YY) ____/_____
MasterCard/Visa
Discover
Credit Card Number ___________________________________________________________ Security Code _______ Questions? Call (561) 691-0096 x 12 or send email inquiry to: [email protected] Registration Deadline: April 25, 2013. Submit completed form by fax (561) 691-0012, email: [email protected] or mail to EWGA Headquarters at: 300 Avenue of the Champions, Suite #140, Palm Beach Gardens, FL 33418-3615. Should you require housing, please call Westin Hilton Head Island Resort & Spa Group Reservations at (843) 681-4000 Ext. 7097 and mention “EWGA” when making your reservation.
