Clovis East Girl's Basketball
Secure Payment Form
Payment Details:
Payment Amount:
Description of Service:
Select One
AAU $175 3rd-8th
AAU $225 9th-11th
AAU $275 9th-11th w/San Diego Trip
Other
Credit Card Information:
Card Type:
Visa
MasterCard
American Express
Discover
Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date:
MMYY
Card ID (CVV2/CID) Number:
[
What is the Card ID?
]
Billing Information:
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Country:
Phone Number:
Email Address: