Acura ClubCorp Champions Classic
Pinehurst Resort
September 28 - October 02, 2014
Golf Professional
Fields with "*" are required.
Personal Information
Club Representing:*
Title:*
Name as is appears on Gov-issued ID
First Name:*
Middle Initial:*
Last Name:*
Name Tag: First name only.
Club Mailing Address Line 1:*
Club Mailing Address Line 2:
Club Mailing City*
Club Mailing State:*
Club Mailing Zip Code:*
Work Phone Number:* 123-456-7890
Emergency Contact Phone Number:* 123-456-7890
Cell Phone Number:* 123-456-7890
Email Address:* A confirmation email and tournament information will be sent here.
Shirt Size:*
Glove Size (C-Cadet, R-Regular):*
Glove Worn On:*
Room Information
I will share room with:*
A single room is an additional $349.00 (Sunday to Thursday). Charges will be on folio at checkout.

Name of Roommate (N/A if local attendee or if single room is requested):*
If spouse or guest is attending, please submit a separate online registration form for them.
Spouse / Guest rate is $221.93 per night single occupancy and $______ per person double occupancy.

Travel Information
Date Arriving at Pinehurst Resort:*
Early arrival rates for room, breakfast, dinner, and taxes per night is $345 per person single occupancy and $217 per person double occupancy

Date Departing Pinehurst Resort:*

Do you need Ground Transportation to Pinehurst Resort
from the Raleigh-Durham International Airport?:*
(If you are renting a car or driving, please indicate No)
Ground Transportation is included

Means of Transportation:*
If flying complete the following information, otherwise skip to comments section.
Birthdate:* MM/DD/YYYY
Departure City:
Departure State:
Date Arriving Raleigh-Durham International Airport:
Desired arrival time:
Date Departing Raleigh-Durham International Airport:
Desired departure time:
Frequent Flyer Number:
Additional Travel Information
Please provide any additional information for travel requirements (limit 250 characters):
Comments
Please provide any special request regarding rooms, dietary restrictions, etc (limit 250 characters):
 
Type "Classic" in the registration code field below.
Registration Code: