Christian Brothers High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for your interest in becoming a member of the LaSalle Club. We are proud to support the student athletes of Christian Brothers High School and we welcome your participation.

Qty

Description

Amount

Total

Single Membership

$40.00

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per year

Partner Membership

$60.00

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Corporate/Family Membership

$125.00

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Additional Contribution

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Total: $0.00

Payer Information

First Name: *

Last Name: *

Class Year if CB Alum:

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.

Name of Spouse (if included in membership):

Name of Corporate/Family Membership:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *