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Professional Golf Swing
Instruction Contact Form

You can use this form to inquire about scheduling Professional Golf Swing Instruction or to ask a question about the instruction. Filling in the preferred date and time boxes is just to let me know what you would prefer, you are not actually scheduling a lesson. Please fill in as much information as you feel comfortable giving (all information is kept confidential). A correct e-mail address is required. Thank you.

Use the tab key or your mouse to go from box to box. Avoid the enter (or return) key, which will submit the form with only the information you have completed up to that point.

Your E-mail Address (required)

Alternate E-mail Address

First and Last Name

City

State

Preferred Date

Preferred Time

Your Handicap Or Average Score

Fees and Length Session *

1/2 hour - $75
1 hour - $125
2 hour - $250
3 hour - $350
4 hour - $450

Sorry, I don't accept credit cards so payment must be by cash or check (personal checks made out to Casey Eberting from US banks are accepted).

What Side Do You Play From?
Right Handed
Left Handed

Please use the box below for questions or messages for me.


Warning: please double check the e-mail address you supplied above before clicking on the Submit Form button. I can't reply if it's incorrect!

 

* Prices for all forms of instruction are subject to change without notice (of course, not if you've already registered).

 

Casey Eberting Golf Instruction
Broken Arrow, Oklahoma

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