PACC Golf Card - 2009 Application
Note: Required fields are noted in bold. Corporate cards must be listed under company's name. First Name Last Name Corporate / Company Name (required for Corp. Card) Address Apt / Unit # City State Zip Code Phone E-mail Referral Code / Organization How did you learn about the PACC Golf Card? Sun-Sentinel newspaper Sun-Sentinel.com Boca News The Tee Times newspaper E-Mail / Web Word of Mouth / Friend Played in Palm-Aire Golf Event Other Which of the following have you purchased in the past 5 years? Palm-Aire Membership Other Club Membership PGA Passport Premier Summer Card Other Additional comments NOW 50% OFF! I am purchasing the following PACC Dicount Card (select one) PACC Golf Card now just $68.37 ($64.50 + $3.87 sales tax) PACC Weekday Card now just $52.47 ($49.50 + $2.97 sales tax) PACC Corporate Card now just $290.97 ($274.50 + $16.47 sales tax) Credit Card type VisaMaster CardDiscoverAmerican Express Credit Card Number Card Expiration Date Name (as it appears on card)