KENTUCKY CHANGERS GROUP PAYMENT FORM
Individual Payment options
Church Name
Email for Receipt
example@example.com
Site
Somerset June 24-30
Mayfield July 8-14
My Products
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Registration Fee
Remaining Registration Fee AFTER deposit.
$
135.00
# of Participants
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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