Huntington Beach Chargers 7v7 & 5v5 Monthly Payment Form
PARTICIPANT INFORMATION
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PAYMENT INFORMATION
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7v7 Monthly Payment - March
$
200.00
7v7 Monthly Payment - April
$
200.00
5v5 Monthly Payment - March
$
150.00
5v5 Monthly Payment - April
$
150.00
Credit Card Details
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Last Name
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Card Expiration
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