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Tournament Sign-Up Form
Long John Open
Saturday, December 30 (9 AM Shotgun, 4 Person Scramble)

 Coffee and Donuts Before,  Lunch After.
$260. Per Team
includes greens fees, cart, gift pack, chance at prizes
Fee required with registration. NO refund for less than 4 players.

Convenient on-line EVENT PAYMENTS here
with safe, secure credit card processing through PayPal.
Your financial information is not shared with us or anyone else.
 
Credit Card Payer will be charged the full team fee of $260.
Payment will be refunded for cancellations 48 hours or more in advance, or unplayable weather.
The definition of "unplayable" is at the discretion of Butter Valley's staff.
 

1. Fill-out information for all golfers.

2. Click the Submit Registration Information button.
(If paying by check, on-line registration is completed.)
Send checks to: Butter Valley Golf Port, PO Box 207, Bally, PA 19503

3. Click the Buy Now button. Complete the credt card information. 

Note: Checks will be processed the day before the event.
There will be no cash refunds for less than four players.

Payment is due with registration.
Checks are expected within 5 days of online registration.

(Tee times or starting hole will be assigned according to date payment is received.)

Golfer # 1  

Golfer # 2

Name  

Name  

Address  

Address  

City  

City  

State  

State  

ZIP  

ZIP  

Telephone  

Telephone  

Customer #  

Customer #  

        
Golfer # 3  

Golfer # 4

 
Name  

Name  

Address  

Address  

City   City  
State   State  
ZIP   ZIP  
Telephone   Telephone  
Customer #   Customer #  
       

Your Email Address:

If paying full $260. amount now, Name of Credit Card Payer:

 

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