Form cover
Page 1 of 2

20th Annual Rotary Golf Tournament

Player Registration Form

Entry Fee Net

Non-Bali Nusa Dua Golf Club (BNGC) - Members Rp. 1.800.000
Bali Nusa Dua Golf Club (BNGC) - Member Rp. 1.150.000
Non-Golfer Dinner Rp. 350.000

Player / Guest for dinner only

Player No. 1 - Name
Player No. 1 - Email
Player No. 1 - Mobile Phone Number
Player No. 1 - BNGC-Member (only for Players)
Untitled multiple choice field
A
Untitled multiple choice field
B
Player's handicap

Playing Partners

Player No. 2 - Name
Player No. 2 - Email
Player No. 2 - Mobile Phone Number
Player No. 2 - BNGC-Member
Untitled multiple choice field
A
Untitled multiple choice field
B
Player's handicap
Player No. 3 - Name
Player No. 3 - Email
Player No. 3 - Mobile Phone Number
Player No. 3 - BNGC-Member
Untitled multiple choice field
A
Untitled multiple choice field
B
Player's handicap
Player No. 4 - Name
Player No. 4 - Email
Player No. 4 - Mobile Phone Number
Player No. 4 - BNGC-Member
Untitled multiple choice field
A
Untitled multiple choice field
B
Player's handicap

Additional Non-Golfer Dinners

Note:
A wrong entry can be deleted by clicking again.
Untitled checkboxes field
Untitled checkboxes field
Untitled checkboxes field
Untitled checkboxes field
Untitled checkboxes field
Untitled checkboxes field
Untitled checkboxes field

The final price is Rp.

Bank Transfer

Ac Name:
PT Narendra Interpacific Indonesia
Bank:
Bank Mandiri Cabang Nusa Dua Mumbul
Jl. By Pass Ngurah Rai, Nusa Dua
SWIFT CODE: BMRIIDJA
Acc IDR: 175-00-8888883-8
Transfer Msg: Please put your name.

Credit Card

Payment Link Online
Please request to reservations@balinational.com for assistance.