Dennis Meyer's Golf Schools Registration Form - 239-267-9429 (fax)

Player 1 Player 2:
Name: ___________________________   Name: __________________________
Address: _________________________   Address: _________________________
City:_____________________________   City:_____________________________
State: _________ Zip Code: __________   State: _________ Zip Code: __________
Email: ___________________________   Email: ___________________________
Home Phone: (      ) ________________   Home Phone: (      ) ________________
Work Phone: (      ) _________________   Work Phone: (      ) _________________
Handicap or Avg. Score: ____________   Handicap or Avg. Score: ____________
Need Rental Clubs? _____ (L) or (R)?   Need Rental Clubs? _____ (L) or (R)?
Circle Type of School:   Circle Type of School:
2 DAY  3 DAY   4 DAY   SHORT GAME   2 DAY  3 DAY   4 DAY   SHORT GAME
Location: _________________________   Location: _________________________
Preferred Date: ____________________   Preferred Date: ____________________

Hotel Information

Arrival Date: __________________       Departure Date: ______________

Circle Type of Room:    EFFICIENCY     ONE-BR SUITE    TWO-BR SUITE
Select: ____ Single Occupancy     ____ Double Occupancy    ____Commuter
            ____ Smoking     ____ Non-Smoking

Payment Information:

A $200 deposit per person is required to confirm your reservatrion (Check or Money Order). The balance must be paid two weeks prior to the start of your school with check or credit card. No refunds will be issued if a cancellation occurs within two weeks of your school's start date.

Amount Enclosed: $______________
Please bill the balance to my Visa or Mastercard:
#________________________ Exp:________ Signature:________________________

OR ____ I will send the balance by check or money order two weeks prior to the start of school. (Make checks payable to Dennis Meyer's Golf Schools)