CCM Selects - Payment (Girls)

PAYMENT PROCESSING
TOURNAMENTS
Apr 19-21, 2019 STX Chi-Town Shuffle 12U, 14U, 16U
TRAINING CAMPS
May 3-5, 2019 College Training - Notre Dame 10U, 12U, 14U, 16U
TOURNAMENT CAMP SELECTION
STX Chi-Town Shuffle (if selected)
April 19-21, 2019
- $200 Chi-Town
College Training - Notre Dame
May 3-5, 2019
- $425 Notre Dame
Jersey & Socks (Tournament Teams Only)
2 jerseys, 1 pair of Socks
- $66 Jersey & Socks
PLAYER INFORMATION
Player Last Name*
Player First Name*
Birth Date*
Date Format: MM slash DD slash YYYY
PARENT/GUARDIAN INFORMATION
First Name*
Last Name*
Email*
Phone*
Additional Information
NOTE: A 4% Service Charge will be added for all Credit Card Transactions
Payment Type*
- Pay By Credit Card
- Pay By Check
ALL PAYMENTS ARE (USD)
IMPORTANT:
Please select TOURNAMENT CAMP SELECTION at the top of the form.
Credit Card Payment Amount (USD)
Price: $0.00
NOTE: A 4% Service Charge was added for Credit Card Transaction.
Check Payment Amount (USD)
Price: $0.00
You will receive "PAYMENT BY CHECK" instuctions once you submit this payment information.
Credit Card

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Refund Policy*
REFUND POLICY
Refund Policy Full refund ( minus the 4% handling fee if paid by cc) will be issued up to 45 days of selected camps/tournament.
- I have read and understand the Refund Policy

TOURNAMENT CAMP SELECTION