Golf Outing Registration Page

SWANA Annual Golf Outing

Business Name:(Required)

Phone:(Required)

Email:(Required)

Team Selection:(Required)

Please place me on a team - $95.00

I am on a team, but just register me - $95.00

I will enter and pay for my team members below

Make sure I am on a team with this person:(Required)

Number of players on my team:

COST IS $95.00 PER PLAYER. Players will be added to the roster when payment has been made. Outing is limited to first 144 paid players. Please fill out form below and submit with payment.

Team Member #1 - Me(Required)

First Last

Team Member #2

First Last

Team Member #3

First Last

Team Member #4

First Last

Total

I will pay my registration:(Required)

By credit card (PREFERRED)

By Check

I HAVE CHOSEN TO PAY FOR MY REGISTRATION(S) BY CHECK
I understand that my check must be received by Hoosier SWANA within 10 days in order for my registration(s) to be recorded. If my check is NOT received in time, my registration(s) WILL NOT be recorded.

I understand and accept:(Required)

Yes

You have said that you do not agree with the terms of payment by check for your registration(s). You may return to the payment choice and select to pay by credit card or you will need to contact the Hoosier SWANA office to complete your registration(s).

Address used for credit card(Required)

Street Address Address Line 2 City State ZIP Code

Phone number used with card account(Required)

Credit Card

Card Details

Cardholder Name

Captcha

This field is for validation purposes and should be left unchanged.