Registration/payment for UHCA PAC Golf Tournament

Utah Health Care Association presents the Annual UHCA PAC Golf Tournament 

Please use the form below to reserve your golf entry.

Please register as SOON AS POSSIBLE as we have set number of tee times reserved and will not be allowed to exceed this allotment. Please note that payment must accompany all entries.

*Cancellation of Registration 90 days prior to Event is entitled to a Full Refund, One Month prior to the Event is half a refund and anything 30 days or less will be NO Refund.
Total Amount
Payment method *
Credit Card Number*
Expiration Date*
Card (CVV) Code*
Card Holder Name*
Verification code*