BCHL 2020/21 Credit Card Payment Form (Brantford Church Hockey League)

Print BCHL 2020/21 Credit Card Payment Form
Please complete this form if you wish to pay for your registration fees by Credit Card. Alternately, you can pay by ETRANSFER to [email protected] - please include players name in the message portion of the email transfer. ***THIS IS A SECURE FORM AND INFORMATION WILL NOT BE SHARED OR SAVED***
Player Information
  1. First and Last Name
  2. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Contact Information
  1. First and Last Name
  2. eg. ###-###-####
  3. Your confirmation email will be sent to this address.
Payment Information
***The ONE-TIME Season Registration fee of $100.00 will automatically be added to all player fees.
  1. Number found on back of card
  2. List names of all players you are making payments for
Human Validation
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Printed from bchl.net on Tuesday, September 29, 2020 at 5:15 PM