Registration Form
You are registering for the Sat. Oct. 23rd, 2021 at
Highland Falls Las Vegas
tournament. The tournament fee for VIP members is $ 71 . The fee for non-members is $ 81 .
Player Information
Sex:
Male
Female
First name:
Last name:
Address1:
Address2:
City:
State:
NEVADA
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip code:
Phone:
(
)
-
Email:
Name of
playing partner:
Handicap Index:
I am a current VIP Member
I would like to purchase a VIP Membership.
How did you hear about us?
Comments
Is the billing information the same as the player information:
Yes
No
I would like to receive my winnings as:
Las Vegas Golf & Tennis Gift Certificate
VGA Bucks
Note: VGA Bucks may be used for future tournaments or VIP Memberships
If you'd prefer to register by mail, you may print the registration form here.