Please enable JavaScript in your browser to complete this form.Team Name (optional)Player 1 *FirstLastEmail *PhonePlayer 2 NamePlayer 3 NamePlayer 4 NamePayment AmountSingle - $125Twosome - $250Threesome - $375Foursome - $500 Payment Player Player Payment TypeCheck - 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. A 3% surcharge will 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 zbromfield@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit