PLAYER ENTRY FORM

Name *

Name

First Name

Last Name

Phone *

Email Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Membership Number *

Home Club *

Dietary Requirements

Please let us know if you have any special dietary requirements

General Comments

Accommodation Options

Twin Share

$3,395.00 NZ per person

Single Room Supplement

P.O.A

Hilton Room Hold

As we are spending the night at The Farm at Cape Kidnappers you have the option to retain your room at the Hilton

$230nzd

Extra room nights can be added for an additional cost including full cooked breakfast.

$295nzd per night

The Northern Gem Entry Form

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