BCHL Credit Card Payment Form (Brantford Community Hockey League)

Print BCHL 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
  1. Number found on back of card
  2. List names of all players you are making payments for
  3. Please write in FULL AMOUNT or PARTIAL PAYMENT and the amount you wish to pay.
Human Validation