ClubCorp Couples Tournament
Pinehurst Resort
March 30 - April 03, 2014
Participant (Team Player)
Fields with "*" are required.
Personal Information
Club/Society Representing:*
Member Number:*
First Name:*
Middle Initial:*
Last Name:*
Name Tag: First name only.
Spouse First Name:*
Spouse Last Name:*
Spouse Name Tag:
Is Spouse Your*
Partners Name if not your spouse/guest:
Mailing Address Line 1:*
Mailing Address Line 2:
Mailing City*
Mailing State:*
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.
Mens Shirt Size:*
Ladies Shirt Size:*
Room Information
I will share room with:*

Name of Roommate (N/A if local attendee or if single room is requested):*
Travel Information
Date Arriving at Pinehurst Resort:*
Early arrival rate is $338.00 inclusive of room and all taxes.
Date Departing Pinehurst Resort:*
Handicap Information
Home Club where handicap is established:*
Home Club Phone Number* 123-456-7890
Payment Information
Note: Entry fee invoice will be sent the middle of February. You may bill your club account, pay by credit card, or mail in a check.
Payment Information*
Please provide any special request regarding rooms, dietary restrictions, etc (limit 250 characters):
Type "couples" in the registration code field below.
Registration Code: