Credit Card Payment Authorization (Peterborough Girls Hockey Association)
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Credit Card Payment Authorization
If you are newly signed to a REP team from Novice to Midget, you can pay by way of email transfer or cheque. Send cheque to address on your registration form. Please complete the required information in full to pay your registration fee by credit card. Once your payment is processed, your credit card information will be deleted. All other information will be retained for our records. * A surcharge of 3.75% will be applied to all credit card payments.
Players Name
*
Email Address
*
You will recieve a confirmation email of your payment
Division
*
Novice Rep
Peewee Rep
Bantam Rep
Midget Rep
Intermediate A
Senior A
Tyke/Novice House League
Atom House League
Peewee House League
Bantam Midget House League
Payment Amount
*
Select One...
Rep Fees - Senior and Intermediate - $200
Pre Season House League Skills - $50
Rep Player Fee after June 30 - $260 (remains $200 for any player joining team in fall tryouts)
House League Goalie Fee - $180 After September 20
Tyke/Novice/Atom/Peewee House League - $410 after September 20
Bantam/Midget House League - $370 after September 20
Name as it appears on credit card
*
Credit Card Number
*
Credit Card Expiry
*
CVV Number from back of card
*
Postal Code
*
Email Address
*
You will recieve a confirmation email of your payment
By checking the box below, you are authorizing the Peterborough Girls Hockey Association to charge your credit card for registration for the 2017 - 2018 season.
I agree to the terms and conditions stated above
*
Human Validation
Check The Box
*
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