Berkshire Baseball & Softball Club

IMPORTANT LINKS

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Berkshire Scholarship/Awards Banquet

RESERVATION FORM

Name:

Address:

City:

State:

Zip:

Home Phone Number:

Work Phone Number:

Fax Number (optional):

E-mail Address:

Player/Child Tickets
(12 yr & under):

@ $16 each

Player/Child Tickets
(13 yr & over):

@ $25 each

Regular Tickets

@ $35 each

Additional Donation
to the Berkshire
Scholarship Fund:

SECURE PAYMENT INFORMATION
Payment Type:	Please select an item.
Card Number:	A number is required.
3 or 4-digit CVC:	(security code on back of credit card) A security code is required.
Expiration Date:	(month/year) A date is required.
Enter these numbers to validate this form:

If you have further questions about this registration please contact Dan Clouser via e-mail dcclouser@aol.com or call 610-927-4306.