Register

Please fill out the information correctly and completely. (* Required)

Personal Information

• Name (Thai) *
• Surname (Thai) *
• Name (English) *
• Surname (English) *
• Nickname *
• Nationality *
• ID Card *
• Sex *
  Male Female
• Date of Birth *
  Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

  Month January February March April May June July August September October November December

  Year 20012002200320042005200620072008200920102011201220132014201520162017201820192020
• Phone *
• Email *
• Place of education *
• High school graduation year (A.D.) *
• Shirt size * Select Size 8 10 S M L XL XXL 3XL
• Shirt size table / inch

  SIZE	8	10	S	M	L	XL	XXL	3XL
  Male			40"	42"	44"	46"	48"	50"
  Female			32"	34"	36"	38"	40"	42"
  Kids	30"	32"

Address

• House number *
• Road
• Village
• City *
• State
• Country
• Postcode *

Parent information

• Father's name *
• Surname *
• Phone *
• Email *
• ID Line
• Occupation

• Mother's name *
• Surname *
• Phone *
• Email *
• ID Line
• Occupation

Pro Trainer

• Name of trainer
• Institution

Photo

• Attach photos of golfers *

• Annual membership fee 2,500 Baht

  KASIKORNBANK Public Company Limited (KBANK), Fashion Island Branch
  Account Number : 056-8-08937-5
  Account Name : Golf Impact Center Co., Ltd.

  For wire transfer:
  Swift: KASITHBK
  Address: KASIKORNBANK Public Company Limited (KBANK)
  1 Soi Kasikornthai Ratburana Rd, Bangkok 10140
  Tel: 0-2222-0000

• Request tax invoice

  Company Name *

  Tax ID *

  Address *

• Attach proof of payment *