Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneHandicap # Expiration Name Credit County Card #Bracket OptionsGross Bracket Only - $75Net Bracket Only - $75Gross & Net Bracket - $150Payment Type 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 belowPayment 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 jklippel@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit
