REGISTRATION FORM 2 Day Club Making Program Class Date (required) —Please choose an option—July 25-26, 2022 - Cost: $499.00August 8-9, 2022 - Cost: $499.00August 22-23, 2022 - Cost: $499.00September 12-13, 2022 - Cost: $499.00September 26-27, 2022 - Cost: $499.00 Contact Name Dealer/Retailer Name Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip / Postal Contact Email Certification Certificate Check all that apply regarding your background? Golf Club RepairCustom FittingRetail SalesPlayerPGA Member Do you have previous experience working with Swing Science Products? please selectYesNo