Irish Pro Golf Tours Secure Online Booking Form

Secure Online Booking Form

Part A:

Contact Information:

Mr/Mrs/Ms/Miss:

First Name:

Last Name:

Home Address:

Street Address:

City:

State/Province:

Zip (Postal) Code:

Country:

Day Telephone Number:

Evening Telephone Number:

Cell Number:

Email:

Fax: [optional]

Part B:

Booking:

I confirm the booking of the golf vacation with Irish Pro Golf Tours supplied under the unique reference number below:

I.P.G.T.

Name of home club:

Handicap:

Caddy Required Yes No

(where available)

Motor Cart Required Yes No

(where available)

Part C:

Tour Payment Section:

Please note that your booking will be considered only when your payment of the tour deposit or full tour fee has been received.

Payment by Credit Card

We accept Visa, MasterCard and American Express. In this form, we utilise the Secure Socket Layer (SSL) authentication and RC4 128 bit encryption technology. SSL encryption protects information being transmitted across the internet to our processing centre.

Please select payment option below:

Please charge the non refundable booking deposit to my credit card provided below.

Please charge the balance payment to my credit card provided below.

Please charge the full tour payment to my credit card provided below.

Pay the balance payment automatically?

Yes or No

Pay for other group members?

Yes or No

Number of payments to be charged:

Group members you are paying for:

To process your payment using Visa, MasterCard or American Express, please fill in the forms below with the requested information EXACTLY as it appears on your monthly bankcard statement.

Please select Credit Card:

Card number:

Expiration Month:

Expiration Year:

Card Security Number:

The "Card Security Code" is a 3-digit number found on the back of Visa/MasterCard/Discover cards or a 4-digit number on the front of American Express cards. Discover/MasterCard/Visa American Express

Cardholder Billing Information:

Cardholder name:

Street Address:

City:

State/Province:

Zip (Postal) Code:

Country:

Please double-check the above credit card information before submitting your booking.

Part D:

AGREEMENT

By submitting this reservation form, I certify that the above information is complete and correct. I acknowledge that the Policy terms and conditions appearing on the web site constitute part of my agreement with Irish Pro Golf Tours, including sections concerning cancellations and refunds. This Agreement will be effective when my booking is accepted by Irish Pro Golf Tours and shall be governed by the laws of the Republic of Ireland. I agree that it is wise to purchase travel insurance.

Yes, I agree

No, I don't agree

Please click on the button to submit your booking: