Supplemental Payment Form
Junior Race Week Registrants
Did your credit card fail upon initial attempts during your online registration process? Would you like to try a different credit card? Please enter your registration total below, and fill out your billing information. If you are unable to charge your credit card(s) on this web site, we ask that you mail payment to Pleon:
Marblehead Junior Race Week, P.O. Box 160, Marblehead, MA 01945


First Name: (leave this field blank)
Last Name: (leave this field blank)
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Payment For:
JRW Supplemental Payment Forrm
Amount: *
$ (whole dollars, no commas)
  Billing Information
Name on Card: *
Address: *
City: *
State: *
Zip Code: *
Country:
Phone: *
Email Address: *
  Credit Card Information
Card Type: *
Card Number: *
Expiration: *
 Other Information
 
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(The next screen will require you confirm your information before payment submission.)

42 Foster Street, Marblehead MA 01945     781-631-1076     info@pleon.org
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© 2017 Pleon Yacht Club
© 2017 Pleon Yacht Club