ONECA Paraphernalia Pins

ONECA Paraphernalia Pins
This form is for the purchase of ONECA Pins.

Payment can be Cash App, Check or Credit/Debit card.
First Name *
Last Name *
eMail *
Chapter *

Payment Method *
ONECA Pins Ordered *
Number of Pins @ $13.50 Each
Processing Fees
Total Cost
Please include the Cash-App Cash Tag name we should expect payment
Cash-App CashTag
Payment Amount

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USD Payment Amount
Date Check Will Be Mailed

Month Day Year
Ship To Name *

First Name Last Name
Shipping Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Comments
Security Banking Payment Section
This is the secure online payment module, after you click on the "Submit My ONECA Payment" you will be redirected to a secure banking payment module. You will be asked for your credit card at that time.

There will be a $1.00 online processing fee for all transactions using a credit or debit card. This is the cost the bank charges it is not a charge ONECA receives.

ONECA HAS NO ACCESS TO ANY OF YOUR CREDIT CARD INFORMATION.
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