Atlanta - 2020
Monday - Friday / July 13-17
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Note the Following:
Deposit
for
Adults
is
$120
/
Due
by
Sunday, December 15, 2019
(Adults must sign-up "individually")
Total Cost
for
Youth
is
$60
/
Due
by
Sunday, December 15, 2019
(Names of ALL Youth must be LISTED. See next section)
Remaining Balance
for Adults can be paid in full or by installments for your convience. Please see the installment options in the
Trip Payment Section
below.
Remaining Balance
payments must be completed by
Sunday, April 5, 2020
.
MAKE SURE
that you provide an
EMAIL
address. A reciept of your payment(s) will be sent to you via email for your records.
Please list the name of the "Youth" that you are paying for in the field below. If you are paying for MORE than one youth, please click on the "plus" icon to add a field and list their name(s) accordingly.
TRIP PAYMENT SECTION
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next
( X )
Deposit TOTAL Payment (Adults Only)
$
120.00
Full Pay / Split Pay Options
Full Payment ($120)
Split Payment 1 ($60)
Split Payment 2 ($60)
Item subtotal:
$
0.00
Youth (Cost Per-Youth) (One-Time Cost)
$
60.00
Number of Youth
1
2
3
4
5
6
7
Item subtotal:
$
0.00
Remaining Balance AFTER DEPOSIT (Adults Only)
$
500.00
Remaining Balance Pay Options
1 Payment ($500)
2 Payments ($250)
4 Payments ($125)
8 Payments ($62.50)
16 Payments ($31.25)
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Pay Now
Should be Empty: