St. Patrick Church - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Registration payment for Conquest 2020-2021

Qty

Description

Amount

Total

Annual Membership Fee

$25.00

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(per member)

Annual Membership + T-Shirt and Prayer Book

$50.00

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Total: $0.00

Name of child payment is being made for: *

T-shirt size:

Payer Information

First Name: *

Last Name: *

Billing Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Email: *

A receipt will be e-mailed to this address.

Telephone:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *