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 I am purchasing the following PACC Card (select one) PACC Golf Card $136.74 ($129 + $7.74 sales tax) PACC Weekday Card $104.94 ($99 + $5.94 sales tax) PACC Corporate Card $581.94 ($549 + $32.94 sales tax) Credit Card type VisaMaster CardDiscoverAmerican Express Credit Card Number Card Expiration Date Name (as it appears on card)
