Please enable JavaScript in your browser to complete this form.Team CapitanEmail *Phone * - Date FULL Payment Type - $75 per Player (Includes Golf with cart, 2 Drink tickets, Lunch Voucher & Prizes) Check - Make payable to Flanders Valley Golf Course. Please mail to Flanders Valley with completed form ( 81 Pleasant Hill Rd, Flanders, NJ 07836)Credit Card - please input information belowNumbers of Players in Group (EVENT FULL - Wait List Only)EVENT FULL - Wait List OnlyPayment For credit card payments, the charge will be processed upon receipt and completion of this form. Please note a 3% surcharge does apply.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% 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 bmeyler@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit
