Haversham & Baker Profile

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Major Basil Haversham, OBE
Commanding Officer

* Name As It Appears On Your Passport:

Group Traveling With:

Home Address:

City:

State:

Zip:

Home Phone:

Home Fax:

Cell Phone:

Company Name:

Business Address:

City:

State:

Zip Code:

Business Phone #1:

Business Phone #2:

Business Fax:

All Materials Should Be Mailed To:

* E-mail

Email Address 2:

Contact(s) at H & B:

Current Handicap:

Coach Driver Request?

Golf Club Membership(s):

Golf Shirt Size:

Passport Number:

Room Type:

Date of Birth (Required for Travel Insurance):

Would you like a caddie for each course on your itinerary?

Do you require assistance with air arrangements?

Are you interested in purchasing travel insurance?

I would like to be kept up to date on the world of international golf travel:

Yes

� 2005 Haversham & Baker Golfing Expeditions