Old Corkscrew Registration Form 2011 Three Day Golf School at Old Corkscrew Golf Club 18 Hours of professional coaching, training & playing with instructors Three days of training with Shawn Humphries and his team Playing with Shawn and his team – 9 holes & 18 holes Computerized video analysis Lunch each day of the school Evening reception & hors d’oeuvres – Thursday, Friday & Saturday Dinners – Thursday & Saturday Closing luncheon on Sunday Student to Teacher Ratio is approximately 3-to-1 Shawn Humphries Golf Performance Gifts Optional Arrival & Departure Golf with Special Rate for Students Hotel not included – Special Rates offered for SHGP Schools Get Started Below Contact Information First Name * Last Name * Email * Choose your school dates Check the Available Date: November: 11-13 December: 9-11 Billing Address Street Address 1 * Street Address 2 City * State * Postal Code * Country Please select a countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustria?land IslandsAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoDemocratic Republic Of CongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicC?te D’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoRepublic of MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoFederated States of MicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaR?unionSt. Barth?lemySt. Helena, Ascension and Tristan Da CunhaSt. Kitts And NevisSt. LuciaSt. MartinSt. Pierre And MiquelonSt. Vincent And The GrenedinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUS Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Credit Card Information Card Type * Please select a card type *American ExpressDiscoverMasterCardVisa Card Number * Expiration Month * 010203040506070809101112 Expiration Year * 201120122013201420152016201720182019202020212022202320242025 CVC * Product Purchase Plan 3 Day School: 3 Day Golf School Amt 1 Payment of $1,495.00 $1,495.00 2 Payments of $847.50 $847.50 Process We accept the following card types when paying with the order form to the left. Your Satisfaction is Guaranteed, if you don’t feel like you’ve gotten your money’s worth, you can get a refund at any time.
