Bishop Amat Memorial High School

Ice Hockey Team Payment Page

Reminder: If you are making your payment after the 10th of the month

Monthly Season Fee Payment

Name on Invoice: *

Player Name: *

Contact Phone Number: *

Email Address: *

If Amat Student, ID#

Payer Information

First Name: *

Last Name: *

Billing Address: *

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

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *