Kansas City FSC - Payment by Credit Card
Please indicate the amount you are paying:
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Payment Amount - (Note - if ordering club apparel enter 00.00 in this field):
Skater Information - Misc payment types
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Name of skater:
Contact e-mail address:
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What are you paying for?
Club Ice Quarterly Payment
Testing Fees
Membership Fees
Punch Card
Walk on
Club Apparel
Skater Fund
Stars on Ice
Apparel Orders
If ordering apparel, please complete the following information:
Skater's gender:
Male
Female
Jacket Size:
No Jacket ordered
Childs Small
Childs Medium
Childs Large
Childs Extra Large
Adult Extra Small
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Pant Size:
No Pants ordered
Child Small
Child Medium
Child Large
Child Extra Large
Adult Extra Small
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Please indicate how many pieces of apparel you are ordering:
Regional Competitor - 1 item
Regional Competitor - 2 items
Non-Regional Competitor - 1 item
Non-Regional Competitor - 2 items
Please note that a 50% deposit is required to place an apparel order and the remainder of the payment is due upon the arrival of your merchandise. Orders received without a deposit will not be processed!
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Indicates Response Required