Aliso Viejo Country Club


Orange-County Golf
Challenge

Sponsored by the
Newport-Irvine Rotary Club

Aliso Viejo Country Club
Monday, September 28th, 2009

Online Registration

  
 

 

To complete your registration online, please click 'Submit Form.'  After submitting this form you will be redirected to PayPal and have the choice to pay by credit card.

If you prefer to pay by check please complete the registration form below and make check payable to: Newport-Irvine Rotary Foundation - P.O. Box 4113 Irvine, CA 92616. 
Tax ID# 26-2741365

For more information about the Orange County Golf Challenge, please don’t hesitate to contact
Earle Zucht, Tournament Chairman at (949) 887-4892 or Daiva Rugienius, Event Coordinator
at (714) 735-2779. E-mail ezucht@yahoo.com Fax: (949) 666-7075

First name, last name, email address, home city, home state or province, and gender are *Required Fields for online registrations.

  

 

 

*Required Fields for online registrations.

RSVP

I would like to sponsor servicemen at $200 per golfer.

Request For
Number of Players
Player Lunches (included for Players)
Player Dinners (Included for Players)

Paying For
No of Players at $225 each
Player Lunches (included for players)  
Player Dinners (Included for Players)

Payment method will be
  Payment Amount 

* Your Full Name

* E-mail Address

* Re-enter your E-mail Address

* First Name
  Middle Initial ( A. )
 *.Last Name

*Prefix   Suffix   *Gender

*Home Street

*Home City

*Home State / Province (abbreviation)

*Home Zip / Postal Code

*Best Daytime Telephone


Handicap
 ( 0.00 )

Company Name

Company Street

Company City

Company State / Prov. (abbreviation)
Company Zip / Postal Code

Company Tel
    Ext
Company Fax

Cell Phone


*Required Fields for online registrations.

Player Two

* First Name
  Middle Initial ( A. )
 *.Last Name

Prefix   Suffix   *Gender

* E-mail Address

Home Street

*Home City

*Home State / Province (abbreviation)

Home Zip / Postal Code

*Best Daytime Telephone

Handicap
 ( 00.0 )

Company Name

Company Street

Company City

Company State / Prov. (abbreviation)
Company Zip / Postal Code

Company Tel
    Ext
Company Fax

Cell Phone

 

*Required Fields for online registrations.

Player Three

* First Name
  Middle Initial ( A. )
 *.Last Name

Prefix   Suffix   *Gender

*E-mail Address

Home Street

*Home City

*Home State / Province (abbreviation)

Home Zip / Postal Code

*Best Daytime Telephone

Handicap
 ( 00.0 )

Company Name

Company Street

Company City

Company State / Prov. (abbreviation)

Company Zip / Postal Code

Company Tel
    Ext
Company Fax

Cell Phone

*Required Fields for online registrations.

Player Four

* First Name
  Middle Initial ( A. )
 *.Last Name

Prefix   Suffix   *Gender

* E-mail Address

*Home Street

*Home City

*Home State / Province (abbreviation)

*Home Zip / Postal Code

*Best Daytime Telephone

Handicap
 ( 00.0 )

Company Name

Company Street

Company City

Company State / Prov. (abbreviation)
Company Zip / Postal Code

Company Tel
    Ext
Company Fax

Cell Phone


 
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