To register for one of our Nine and Wine events, please complete the form below. Your information will be emailed to us so that we can make sure to reserve a place for you at our next event. Once you press submit, you will be taken to a confirmation page where you can remit your check or money order or you can pay for your registration with a credit card.

If you encounter problems with our online registration system, you may also call (602) 840-0607 to register via telephone.

Note: All items marked by (*) are required fields.

General Information  

Name:	*
Company:
Title:
Address:
Address2:
City, State and Zip	,
Industry:	Accounting Advertising/Marketing Banking Computers/Technology Consulting Human Resources Internet/Communications Legal/Law Management Medical Operations Other Real Estate Retired Sales
Industry, if Other:
Email Address:	*
Business Phone:	*
Cell Phone:	(incase we need to reach you afterhours)
Referred by:
Golf Experience:	Advanced Intermediate Newer Never Played
Do you need Clubs?	Yes No If Yes, choose: Right handed or Left handed

Program Information

Dates:  (select one)

2/26 @ 3pm 3/25 @ 3pm 4/22 @ 4pm 5/20 @ 4pm

Sponsorship

Tee Sponsor:	Yes ($200) How would you like your sign to read?
Corporate Sponsor:	Yes ($300) What would you like on the sign?
Birdie Sponsor:	Yes ($325) What would you like on the sign?

Payment Method

Choose your payment option :	Check Credit Card * Gift Certificate No.
Referral Code:	Code for Referral Program

Bring a new participant to Nine & Wine and receive 50%  off your next Nine & Wine outing. Bring two new participants to Nine & Wine and attend your next Nine & Wine outing on us!

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