Please enable JavaScript in your browser to complete this form.Team Name (optional)Team Captain *FirstLastEmail *PhonePlayer 2 Name *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 Number Player Name $200 Expiration 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