Please join us for our 10th Annual Golf and Dinner Extravaganza
on Tuesday, August 23rd at the Fairway Iron Country Club.

The golf tournament will begin at 1:00pm and a dinner will follow at 6:30pm. You may register to only play golf that day, or register for both golf and dinner. Please select the number of participants below and be sure to fill-out the additional information for each participant. If you have any questions, please contact us at (123) 555-6789.

Please note: this is a demo payment page. The payment method is setup in "test mode" and will not run an actual transaction. Please do not modify the credit card information. You may fill in the other fields and hit the "Process Transaction Now" button to see a working demonstration of Web Payment Software's payment pages.

Payment Information

Golf Only Registration

Individual (golf only)
Foursome (golf only)

Golf and Dinner Registration

Individual (golf and dinner)
Foursome (golf and dinner)
Convenience Fee

Additional Information

(please fill-out the following for each participating golfer)

Golfer #1




































Golfer #2

Golfer #3

Golfer #4

Payment Method

VisaVisaMasterCardMasterCardAmerican ExpressAmerican ExpressNovusNovusDCDCJCBJCBCheckCheck
   
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Billing Address


 
 
 
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