Quest Academy

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Quest Under the Stars Escape Room

ESCAPE ROOM

May 17, 4:00-8:00 pm

We touch space

The form below must be filled out and submitted to confirm registration

Quest Under the Stars Escape Room

Registration Fee is $20 per team of 2-5 participants

Quest Under the Stars Escape Room:

$20.00

Quantity:

Item Subtotal:

$0.00

Total:

$0.00

Parent/Guardian Information

First Name:		Last Name:
Phone:
Email:

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (1.5% additional service fee for foreign cards)
eCheck:	$0.50

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:

Payment method will be collected on external device

Change Payment Method

Your statement will describe your payment as CBT*QUEST ACADEMY

and the service fee transaction as CBT*SVC FEE QUEST ACA

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