Wiley College - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Because you are not directly affiliated with Wiley University (faculty, staff, student organization etc.) a $25 fee is required for parade participation. You can complete your registration fee below.

Qty

Description

Amount

Total

Parade Registration Fee

$25.00

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Total: $0.00

Group/Organization: *

Group/Organization Type: *

I am/apart of: *

Point of Contact First Name: *

Point of Contact Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Point of Contact E-mail: *

A receipt will be e-mailed to this address.

Point of Contact Mobile: *

Parade Participation: *

Number of Participants: *

Will you enter a Float in the Parade? *

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *