This form is for players and teams who wish to register to play or sponsor. If you prefer to be invoiced, please select direct deposit and an invoice will be issued to you. EVENT DETAILS DATE: Thursday 30th September 2021 EVENT: Drop Out Ambrose – 4 players/team registration SHOTGUN: 7.30am Start Registration includes green fees, chosen cart option, light breakfast, course refreshments, 2 course lunch and beverages*. Sponsorship packages start from $500+gst for a non playing package and $1,000+gst for a playing package with a team of 4. Step 1 of 3 33% Booking ContactPlease provide details as the contact for this bookingName First Last Is this for a business?*Yes - this is to be registered against my businessNo - this is a personal bookingBusiness NameAddress Details of Payer Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneMobileEmail Sponsorship OptionsEvent Sponsorship Options - select No to skip to playing registration*If you plan to sponsor a hole or part of the event, please select from below. Prices are ex gstHole sponsorship - non playingHole sponsorship - inc 1 playing teamPlaying Green Sponsor (in front of clubhouse) inc 1 playing teamNo sponsorship - skip to player registrationPlaying OptionsPlaying Tickets*Please select your playing options. Prices quoted are exclusive of gst. If you wish to sponsor only, please select Not Playing to progress to the next step.Single Player - no cartSingle Player - motorised cart (unshared)Double Player Registration - no cartDouble Player - motorised cart (shared)Team Registration (4 players) - no cartTeam Registration - motorised cartNot PlayingAdded ExtrasOther Options*There are always other options available on the day including and amazing raffle, additional lunch presentation tickets as well as tax deductible donations. Select your options here. Please note: donation receipts will be issued separately for taxation purposes.Presentation lunch ticket inc 2 course lunch, and beveragesTwin Presentation lunch ticket inc 2 course lunch, and beveragesRaffle Tickets - 3 for $10Raffle Tickets - 6 for $20Raffle Tickets - 9 for $30Raffle Tickets - 15 for $40Raffle tickets - 20 for $50Tax Deductible donation of $20Tax Deductible Donation of $50No other options please Player InformationIf you have registered for playing tickets, please complete the following information. Please note the handicap information and enter as much as you can. If you are unsure, please make a note in "Any Other Comments". Details can be provided up to 7 days prior to the event.Do you wish to be matched with particular player/s? If so, who?Player InformationFirst NameLast NameHandicap - if applicableClub - if applicableGolf Links Number - if applicableEmailMobileDietary RequirementsOther Info Please register all player details here. For multiple players, press + for additional detail rows to appear. If you are inviting a guest, please make a note in the OTHER INFO column and an invitation will be emailed to your guest with the relative event information. If you cannot complete this information at registration, please leave blank and we will contact you to follow up. Please note: if no handicap or club are indicated, a maximum social handicap will be applied. Womens: 27 and Mens 18Any Other Comments?How do you wish to pay?*Credit card via StripeDirect DepositTotal $ 0.00 Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged.