2012 Tournament Application Form
* required information
First Name:
*
Surname:
*
Name as it appears on your credit card:
*
Date of Birth (DD/MM/YY):
*
/
/
Guest Name:
(optional - £55 extra charge)
Home Address:
*
Address in Cuba:
(if applicable)
Country of Residence:
*
Postcode / Zip Code:
*
Telephone Contact Number:
*
(including country code)
Contact Number in Cuba:
(if applicable)
E-mail Address:
*
Handicap (min 28):
*
Home Club:
(if applicable)
Do you require Club rental?
No
Yes
Free if required.
Would you like to be informed about other golf events in Cuba?
No
Yes
If so, which address?
Home
Cuba
Total to Pay (GBP) £
110
© 2012 The Montecristo Cup. All rights reserved.