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A's Fall 2024 (10th, 11th, 12th) Pay in Full EFT Form
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9
Questions
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1
Player's Name
*
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First Name
Last Name
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2
Player's Grade
*
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Please Select
12th
11th
10th
Please Select
Please Select
12th
11th
10th
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3
Parent Email
*
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example@example.com
Confirm Email
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4
Player Fees & Payment Plans Agreement
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5
I, Agree to & provide my Authorization to the A's Player Fees & Payment Plans Agreement
*
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I Agree
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6
Authorization Person's Name
*
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The Name of the Person Paying
First Name
Last Name
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7
Authorization Person's Signature
*
This field is required.
I, AUTHORIZE MY BANK TO MAKE PAYMENTS BY THE METHOD INDICATED ABOVE, INCLUDING DIRECT BILLING FEES AND UNIFORM FEES. I ALSO UNDERSTAND PAYMENT WILL BE PULLED UNTIL PAYMENT FOR THE MONTH IS CLEARED OR BALANCE FOR THE SPRING/SUMMER/FALL SEASON IS CLEARED. I UNDERSTAND AND AGREE THAT I HAVE SIGNED A CONTRACT AND I AM BOUND BY ALL RULES AND REGULATIONS OF ARLINGTON A’s.
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8
Payment Plan Selection
*
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Please Select
Pay in Full
Please Select
Please Select
Pay in Full
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9
Pay in Full
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( X )
795.00
USD
Description
USD
+ OR enter a custom value
eCheck.Net A's EFT Draft
Checking
Savings
Checking
Savings
Bank Account Type
Routing Number
Account Number
Name On Account
Bank Name
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