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USGTF PRINTABLE RESERVATION FORM
Please make your reservations for a USGTF Certification Course using this form.
Then fax to: Fax 772-335-3822
Or Mail to:
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United States Golf Teachers Federation
1295 SE Port St. Lucie Blvd.
Port Saint Lucie, FL 34952
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For more information call or email:
772-335-3216 • www.usgtf.com • info@usgtf.com
Certification Applicant Information
| Name |
______________________________________________________________________ |
| Address |
______________________________________________________________________ |
| City |
______________________________________________________________________ |
| State |
______________________________________________________________________ |
| ZIP |
______________________________________________________________________ |
| Country |
______________________________________________________________________ |
| Phone
Number |
______________________________________________________________________ |
| E-Mail
Address |
______________________________________________________________________ |
Select a Certification Session
Please refer to web site or brochure for dates
and locations
| Location |
______________________________________________________________________ |
| Start
Date |
______________________________________________________________________ |
Level. Please Circle One
| LEVEL
I - 2 DAY COURSE |
LEVEL
II - 4 DAY COURSE |
| LEVEL
III - FULLY CERTIFIED MEMBER |
LEVEL
IV - Master Golf Teaching Professional |
| UPGRADE
- LEVEL I to LEVEL II |
UPGRADE
- LEVEL I to LEVEL III |
| UPGRADE
- LEVEL II - LEVEL III |
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Number of Attendees
| Single |
_____
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X
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$________
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=
|
__________ |
| Commuter |
_____
|
X
|
$________
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=
|
__________ |
| |
|
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TOTAL
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=
|
__________ |
Names of all
Attendees_____________________________________________
Payment Information (you may also pay
by check or money order)
Payment
Option
Circle One |
$200 Deposit
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Pay In Full
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Credit
Card Type
Circle One |
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VISA
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Mastercard
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AMEX
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Discover
|
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| Cardholder
Name |
______________________________ |
| Card
Number |
______________________________ |
| Expiration
Date |
______________________________ |
| Signature |
______________________________ |
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