28^th Pro Team Classic 2006 APPLICATION FORM

November 10 – 16, Maui, Hawaii
 

Name                                                                        playing with Professional                                                              

Billing Address                                                                                                                                                             

Your Golf Club is                                                                                                                                                         

Home phone                                                        

City                                                                Postal                              Email                                                                                                                                                                                                                                                 (important please)

Office phone                                                Cell phone                                            Fax                                                

Roommate                                                                             who is a Pro      amateur        non-golfer                          

Suite type: Moderate ____  Fairmont____  Ocean view___  Deluxe Ocean front___

Resort Room : smoking?                      Single bed              King bed           Twin beds                                      

Arrival Date & time at Resort:                                                      departure date                                                     

Extension request                                                                                                                                                      

Package Tour Insurance :   yes       no          If yes, with medical              without medical                                                                                    (this is highly recommended; check it out or call us)

If accepting Package tour insurance we need your birth dates:                                                                                  

Tour does not include airfare: will you do your own ?               would you like us to give you a quote?          

Would you like a rental car ?          size                         type                        dates of rental                                     

Deposit / Payment : US Cheque        ; US Money order      ; Credit Card        Card Name                                         

Note:  tour costs are in US Funds so tour is in US Funds . Make cheque payable to Advantage Travel Ltd.

I ,                                                                                             authorize Advantage Travel Ltd. To charge the

amount of $                           for the following services                                                                                                  

to my                      card #                                                                                     exp date                                         

Name                                                                       Signature                                                       Date                                                          (please print name )

I / We are aware of any cancellation policies and agree not to dispute or attempt to Chargeback any of the above signed for and acknowledged charges and have read and understand the Waiver & Responsibility  clause on the Pro Team Classic 2006 brochure. Cardholder initial                               .Date                                      
 

Email: milesclassic@telus.net            www.milesclassictravel.com                 www.fairmont.com/kealani

Please fill in all sections above or entry cannot be processed !
This entry must be received by May 31^st, 2006 !