MERCER CHIEF PAYMENT PAGE 2010/11
Team costs and payment schedule are listed on your contract. If you have any questions on the amount of your payment, please call the main office at 609-588-6672 ext 10.
PLAYER'S FULL NAME:
TEAM:
COACH:
EMAIL:
CELL PHONE:
Method of payment (to register by internet you must pay by credit card only)
CARD TYPE
none
Visa
Mastercard
American Express
Discover
CARD HOLDER NAME
CARD #
EXP.
AMOUNT $