Please enable JavaScript in your browser to complete this form.Player Name *FirstLastEmail *PhonePlease add names of golfers you would like to be paired with. (Optional)Additional Donation Amount (Optional)$1$5$10Payment Type - $110 per personCheck - Make payable to Berkshire Valley Golf Course. Please mail to Berkshire Valley with completed form (28 Cozy Lake Road, Oak Ridge, NJ 07438)Credit Card - please input information belowPayment - Golf Outing RegistrationFor credit card payments, the charge will be processed upon receipt and completion of this form. Name on Credit CardCredit Card Number Donation person (Optional) 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% 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
