David Llewellyn Seminar Entry Form - 18/05/2007

David Llewellyn

"Are you achieving your best and do you have the recipe for success?"

Application Form - Print Off And Return

 
 
 
1.                   Name (in full)………………………………………………………………………………………………………………………
 
 
2.                   Club/Attachment …………………………………………………………………………………………..…………………….
 
 
3.                   Mailing Address ………………………………………………………………………………..………………………………..
 
 
…………………………………………………………………………………………………………………………………………
 
 
Postcode……………………….
 
 
4.                   Telephone No (Home)…………………………………......Mobile Tel No………………………………………………
 
 
6.             E-Mail Address……………………………………………………………………
 
 
7.            Date of Birth…………………………...
 

8.             Payment by Credit Card
 
 
Type of Card…………………………………………...…………Name (If different)………………….……………………..…
 
 
Card No………………………………………….……………………..Valid From………………..Expiry Date…………….…..
 
             
               Issue No. (Switch only)………………………….. Signature (If different)………………………..……………….………………….
 
 
 
Please send completed entry form and payment for £75 (cheques payable to PGA Ltd) to:
 
The PGA Europro Tour, Tournament Department, Centenary House, The De Vere Belfry, Sutton Coldfield, B76 9PT