Pro-Am - Riviera Maya Open - CANTOUR - Iberostar Riviera Maya Open - Canadian Professional Golf Tour

OFFICIAL ENTRY FORM - IBEROSTAR RIVIERA MAYA OPEN PRO-AM
PLAYERS MAY SIGN UP INDIVIDUALLY, PAIRS (2 PLAYERS) OR AS 3 MAN TEAMS

Please fill out this form and e-mail or fax to Iberostar Playa Paraiso Golf Club
golfparaiso@iberostar.com.mx
FAX: 011 (52) 984-877-2828

PLEASE INDICATE IF LEFT HANDED BY CHECKING THIS BOX

PLAYER 2	FIRST NAME		LAST
NAME
ADDRESS				CITY,		STATE,	ZIP
PHONE
E-MAIL

CLUB AFFILIATION
CLUB PHONE
HEAD PROFESSIONAL
CURRENT HANDICAP INDEX

	SM	MED	LG	XL	XXL	GENDER	M
SHIRT SIZE							F
PLEASE INDICATE IF LEFT HANDED BY CHECKING THIS BOX

PLAYER 3	FIRST NAME		LAST
NAME
ADDRESS				CITY,		STATE,	ZIP
PHONE
E-MAIL

CLUB AFFILIATION
CLUB PHONE
HEAD PROFESSIONAL
CURRENT HANDICAP INDEX

	SM	MED	LG	XL	XXL	GENDER	M
SHIRT SIZE							F
PLEASE INDICATE IF LEFT HANDED BY CHECKING THIS BOX
Please fill out this form and e-mail or fax to Iberostar Playa Paraiso Golf Club golfparaiso@iberostar.com.mx
FAX: 011 (52) 984-877-2828

FORM OF PAYMENT Recommended form of payment is by bank transfer, if making a bank transfer please use the information below and send a copy of the transfer to the e-mail address or fax above. Additionally, credit card payment will be accepted. Please fill out the C.C. info below and e-mail or fax.
BANK TRANSFER INFO: Payments in U.S dollars use the following information: BBVA BANCOMER, account number 018329917-1, Branch 0675 bank code 012 694 00183299171 9
Payments in pesos: BBVA BANCOMER, account number 018329906-6, branch 0675 bank code 012 694 00183299066 8
CREDIT CARD INFO:
Name of card holder:
Card number:				3 digit security code
Card type: Visa or MC only				Expiration date

Entry fee: $750.00 USD per person or $2,250 UDS per 3 man team

Receipts will be issued at player registration. Players may pre register on Tuesday May 13th. Practice rounds
for amateurs will be Tuesday May 13th based on space availability after 12:00 noon.

THE PRO-AM COMMITTEE RESERVES THE RIGHT TO VERIFY ANY HANDICAP AND MAKE ANY
NECESSARY ADJUSTMENTS.

If you need any further information or need to reserve your practice round please contact the
Pro- AM committee at golfparaiso@iberostar.com.mx or 011 (52) 984-877-2847 Attn: Greg Bond