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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
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
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
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
B
Player's handicap

Additional Non-Golfer Dinners

Note:
A wrong entry can be deleted by clicking again.
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 [email protected] for assistance.