Payment Page – Eclipse Simi Valley Soccer Club

Player Name*
First Last
Email*
Team Number#*
Please select your registration group (there will be an additional processing fee):
Select Payment option ($1,150):
- Full Payment $1,150 + $33.46
- 50% Payment Installment - $575.00 + $16.73
Select Payment option ($1,450):
- Full Payment $1,450 + $42.19
- 50% Payment Installment - $725.00 + $21.09
Select Payment option ($1,750):
- Full Payment $1,750+ $50.92
- 50% Payment Installment - $875.00 + $25.96
Make partial payment not listed above?
- Yes
$100 + $3.20 Processing Fee Quantity
Price: $103.20
$25.00 + $1.03 Processing Fee Quantity
Price: $26.03
Memo: (Please include player's name, team number, and coach's name)
Total
$0.00
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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