testform - Boys & Girls Clubs of the Lewis-Clark Valley

Name:*
First Last
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email:*
Enter Email Confirm Email
Phone*
USGA Index:*
Home Course:*
Including yourself, are you also registering another player on your 2-Person Team? ($95/golfer):*
Cost for One Player
Price:
Cost for Two Players
Price:
Player 2 Name:
First Last
Player 2 Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player 2 Email:*
Enter Email Confirm Email
Player 2 USGA Index:*
Player 2 Home Course:*
SKINS POT BUY IN ($20 per two person team)*
Select "Yes" for Skins Pot Two Person Team Buy-In
- Yes
- No
TOTAL
$0.00
Payment method:*
- Credit Card
- Pay @ Friday Check-in
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Notes: