Summer 2014 Payment Center

Thank you for making a payment for your child to attend Boys & Girls Club of Burbank and Greater East Valley Summer 2014 program

Attention:

Please note that your child cannot attend the summer program until payment and registration has been received. See below for program pricing:

Registration: $50 (no financial aid available for registration)

Session 1 Weeks 1-6 (May 30-July 11th) $540—Due by May 16th: $540

Session 2 Weeks 7-11 (July 14th-August 15th) $450 —Due by June 30th: $450

Weekly: $100

Daily: $25

Please note that if you have made financial aid arrangements with the club then your payment amount may differ from the above prices.

Please contact our Membership Director at (818) 842-9333 x13 with any questions.

As a reminder, all field trips are non refundable.

* Member Name

Site Location (to select multiple sites, use the control key)

Financial Aid? Yes
No

Payment menu (to select multiple sites, use the control key)

* First Name

* Last Name

Day Time Phone

Comments

* First Name on Card

* Last Name on Card

* Billing Address

* Billing City

* Billing State

* Billing Zip

* Card Type

* Credit Card Number

* Expiration Date

* CCV

* Amount: (ex: 10000.00)
(minimum: $5.00)

* Email to receive receipt:

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