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Spirit Wear
Bows:
$1.00
Quantity:
Item Subtotal:
$0.00
Hoodie:
$18.00
Quantity:
Item Subtotal:
$0.00
Sweatshirt (crewneck):
$12.00
Quantity:
Item Subtotal:
$0.00
T-Shirt A:
$10.00
Quantity:
Item Subtotal:
$0.00
T-Shirt B:
$5.00
Quantity:
Item Subtotal:
$0.00
Water Bottles:
$1.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
Contact Information
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
eCheck:
$0.49
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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CORE Payments Version 4.1.17016; (API: 2.22)
