Please enable JavaScript in your browser to complete this form.Team Name (optional)Team Captain *FirstLastEmail *PhonePlayer 2 Name * - Outing Team Payment Type - $200 per Team - EVENT FULL - WAIT LIST ONLYWAIT LIST - EVENT AT CAPACITY - WAIT LIST ONLYCheck - Make payable to Flanders Valley Golf Course. Please mail to Flanders Valley with completed form (81 Pleasant Hill Road, Flanders, NJ 07836)Credit Card - please input information below. A 3.5% surcharge does apply.Payment - Golf Outing RegistrationFor credit card payments, the charge will be processed upon receipt and completion of this form. Name on Credit CardCredit Card NumberExpiration DateSecurity CodeI understand and agree to abide by the following: Payment Policy: Payment for the full amounts must be included. Payments will be processed upon receipt. Insufficient funds, returned check or refused credit card charge will incur a fee of $20. Please be advised that a 3.5% processing fee will be applied to all online registrations paid by credit/debit card. This fee covers the cost of credit card transactions and is non-refundable. Cancellation Policy: All cancellations must be in writing and submitted to jklippel@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit
