Inaugural First Responder Challenge - Morris County Golf Courses

Department Name

Team Captain *

First

Last

Email *

Phone

Player 2 Name *

First

Last

Player 3 Name *

First

Last

Player 4 Name *

First

Last

Payment Type - $400 per Team

Check - 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

Payment - Golf Outing Registration

For credit card payments, the charge will be processed upon receipt and completion of this form.

Name on Credit Card

Credit Card Number

Expiration Date

Security Code

I 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.

Player Name Email

Payment - Golf Outing Registration

I understand and agree to abide by the following:

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