(10u) 2022-2023 Monthly Payment Authorization Form

(10u) 2022-2023 Monthly Payment
I authorize Matt Duffy Baseball Academy to charge my card the amount selected below on a monthly basis, and shall remain in effect until it reaches the balance of 10 payments.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
By submitting this form, I certify that I am the authorized user of the Credit Card that shall be submitted through this form. As long as the transactions correspond to the terms and conditions indicated in this authorization, I shall not contest the monthly charges.
2022-2023 Season - Monthly Payment *
prev next ( X )
Age Group: 10u ( $ 250.00 for each month )
Please verify that you are human *
Please only click submit once to prevent duplicate charges on your card. If you are having trouble submitting your payment, email us at mattduffybaseball@gmail.com.
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