EmailMe Form - Subscription Form Vlerick Alumni Golf Challenge

Name *

First Name *

Student

Programme

Graduation Year

Street and Street Number *

Postal Code *

City *

Country *

Telephone *

Email *

Please select the proper option

I want to subcribe for *

I want to enroll a guest for *

I (also) want to register for the Buffet Dinner at 19:00 (Wine & water included) *

My exact Playing Handicap (max 45)

My Federal Number

My Home Club

Name Guest

Guest is Vlerick Alumnus

If possible, I'd like to play with my guest (will not be possible if you and your guest's handicap will not allow you to play on the same course)

Guest's Exact Playing Handicap (max 45)

Guest's Federal Number

Guest's Home Club

Total amount to be paid *

I will transfer the registration fee to: IBAN: BE77 7310 2236 5242 - BIC: KREDDEBB before June 1st, 2012 *

Yes

Comment on payment:
Please clearly indicate: Vlerick Alumni Golf Challenge - your name (in case of a company payment) -

Personal Comment/free text