Bahamas Basketball Federation

International Coaching Clinic 2011

Atlantis Paradise Island Resort

Clinic Registration Form

Name:  ____________________________________________

School/College: _____________________________________

Address: ___________________________________________

City: _______________________________________________

Country/State: ______________________Zip:______________

Future mailing list: Email Address (es) _____________________

____________________________________________________

Phone: __________________ Fax: _______________________

All persons registering will receive a hard copy of the registration with copy of their payment upon arrival at the clinic.

                         Bahamas Basketball Federation

P.O.BOX N-240

Abundant life Road

Nassau, Bahamas.

Ph (242) 393-0426     Fax: - (242) 393-6239

Email: - eapickstock@hotmail.com

CUSTOMER CREDIT CARD SIGNATURE FORM

Date: __________

Billing Name: ____________________________________

Billing Address: __________________________________

                           __________________________________

                           __________________________________

In completing this CUSTOMER CREDIT CARD SIGNATURE FORM I authorize The Bahamas Basketball Federation to charge my card $______________for the BBF International Coaching Clinic Aug, 4th to 7^th. 

1.________________ Order#/quote#/ Inv#                           

2. ________________Order#/quote#/ Inv#                             

3._______________Order#/ quote#/ Inv #

4. _______________Order#/quote#/ Inv #                               

 Card number: __________________________________

Exp. Date: _______________________________________

Credit card security Number/code: ________________

Sign: ______________________________

Print name: ________________________________

Phone & fax: ______________________      __________________________

A copy of your driver’s License/ID MUST accompany this form.

Personal cell: - Edgar Pickstock - 1-242-457-1977 - Vice President BBF

HOTEL BOOKING INFORMATION

THE RATES LISTED HER ARE FOR PERSONS ATTENDING THE CLINIC ONLY.

PERSONS NOT ATTENDING CLINIC WILL BE CHARGED REGULAR ROOM RATES.

     Atlantis is now up and ready to begin accepting phone call reservations for your event.  Please forward the following to your attendees:

     Group Name / Code:           Bahamas Basketball Federation Intl. Coaches Clinic

            Toll Free                               1-800-ATLANTIS or 1-800-FUN 4 SUN

                                Outside of the US call       954-809–2714

* Please be sure you use the numbers listed to get the special group rate.