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
Credit Card Number
Card Expiration Date
Name (as it appears on card)

  

 


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