Hole in One

Hole in One application must be submitted at least two weeks before the date of the tournament to be considered.

Select Dealership or Corporate from drop down (Required)

Name of Event (Required)

Is this a charity event? (Required) Yes No

Name of Charity

Tax ID

Date of Tournament (Required)

Start Time (Required)

Course Name (Required)

Course Address

Street Address (Required)

Address Line 2

City (Required)

State / Province / Region (Required)

Zip / Postal Code (Required)

Country (Required)

Number of Players (Required)

Car Will Be Placed at What Hole?

Yards to Hole? (Required)

What Time Does the Car Need to Arrive at the Golf Course?

Day of Event Contact? (Required)

Are any of the players PGA golfers, golf coaches, college players or golf pro's playing in the tournament? (Required) Yes No

If so how many players? (Required)

We reserve the right to not include any of the said pro golf players above from the hole in one competition- please read your contract provided to you by the hole in one insurance company

Contact Information

First Name (Required)

Last Name (Required)

Phone (Required)

Email (Required)

Address (Required)