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
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  • 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
  • Note:
    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.
  • Note:
    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.