IFRA North America
2015 GOLF OUTING
JUNE 1, 2015 • North Jersey Country Club • Wayne, NJ
REGISTRATION FORM
Name: _________________________________________________ Company: _____________________________________________
Address: _______________________________________________________________________________________________________
Phone: _________________________________________________ Fax: _________________________________________________
Email: _________________________________________________________________________________________________________
Golf Reservations at $290.00 per person (includes lunch, dinner & greens fees) . . . Total Golf Reservations: $ ___________________
Please pair us together:
Name: ____________________________ Company: ____________________________ Email: _______________________________
Name: ____________________________ Company: ____________________________ Email: _______________________________
Name: ____________________________ Company: ____________________________ Email: _______________________________
Name: ____________________________ Company: ____________________________ Email: _______________________________
Dinner-only Reservations at $125.00 per person . . . . . . . . . . . . . . . . . . . . . . Total Dinner-only Reservations: $ ___________________
Name: ____________________________ Company: ____________________________ Email: _______________________________
Name: ____________________________ Company: ____________________________ Email: _______________________________
PAYMENT Information
Check enclosed (Payable to IFRA North America) - OR - Please charge:
AMEX
Discover
Mastercard
Visa
Name on card: _________________________________________________________________________________________________
Credit Card number: ________________________________________ Security Code: _________________________________________
Exp. Date: _________________________ Signature: ___________________________________________________________________
GRAND TOTAL: $ ___________________
Send completed registration form with payment to:
International Fragrance Association, North America
Attn: Amy Reuter • 1655 N Fort Myer Drive, Suite 875 • Arlington, VA 22209 •
FAX
+1 571 312 8033 • [email protected]
Written cancellations received on or before Friday, May 23, 2014 will recieve a full refund. No refunds issued after May 22, 2015.
IFRA North America reserves the right to refuse admission to or reject the registration of any person or entity, and to remove any person or entity
from the event, each is IFRA North America’s sole discretion at any time.