Local 277 Clam Bake payment center

Email

example@example.com

Member Name

First NameLast Name

Guest Name

First NameLast Name

Guest Name

First NameLast Name

Guest Name

First NameLast Name

Clam Bake Location

Clam Bake for Member

members only

$25.00 Number of members you would like to pay for
Item subtotal:

Members Guest fee

Guests of members only

$25.00 Number of nonmembers you would like to pay for
Item subtotal:

Syracuse additional guest fee (Spinning Wheel)

Additional guests

$75.00 Guests you would like to pay for
Item subtotal:

Binghamton additional guest fee(Mountain Top)

Additional guests

$60.00 Guests you would like to pay for
Item subtotal:

Kids 12 & under

Any kid

$25.00 Number of nonmembers you would like to pay for
Item subtotal:

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country