LVDA Annual Banquet Reservation Form
Green Pond Country Club
3604 Farmersville Road, Bethlehem PA
Saturday , February 9, 2019
Social Hour 6pm -7pm Dinner: 7:00 PM
Name Reservation will be in
Email (you will receive an email confirmation)
Number of people attending
1 - Attendee
2 - Attendees
3 - Attendees
4 - Attendees
5 - Attendees
6 - Attendees
Note: Youth Award recipients will receive a $15 discount.
All of the rest of the attendees will be charged $40 p/p
If your including a Youth Award recipient in your reservation please complete the next field,
$15 will then be automatically deducted from you total
If a Youth Award Winner is included in this reservation please check this box.
$15 will automatically be deducted from the reservation total
Our reservation includes a Youth Award recipient
Name of Youth Award Recipient that is included in this reservation
Terms and Conditions
I understand that by clicking the submit button on this form my reservation will be immediately received and I will be obligated to pay the LVDA via the payment method I choose below.
I also understand that in the event of bad weather the Banquet could be rescheduled and if I am not able to attend on the rescheduled date, I will get a refund.
Method of Payment
Pay Now - Payment screen will appear after clicking submit
Pay by Check - Payable to LVDA (Must still hit Submit) - See instructions below
When you choose Pay by Check and hit submit the payment check out screen will still appear.
Simply exit out of that screen without continuing any further. Your reservation request will have been received.
Before hitting Submit, write down your total cost.
Then send your check to: Terry Wetzel 3724 Friedens Rd, Slatington, Pa 18080
Be sure to mention whose reservation you are paying for.
The payment screen has two payment options:
Pay using your PayPal account (Login Tab) or
Pay using a Debit or Credit Card (Debit / Credit Card Tab) located at bottom of payment screen
If you chose Pay by Check above, after hitting Submit, simply exit the payment screen without proceeding any further.