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908 355 4850 ext 6197
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MS Sports Fee
MS Sports Uniform
Please enter information on this form to make payment for
JEC MS Sports Uniform.
First Name
*
Last Name
*
Phone
*
Email
*
Comment
Uniform Item:
*
Basketball Uniform and Shorts $130
Hockey Uniform $156
Kippa $10
Hockey Pants $21
Soccer $110
Soccer Goalie $66
6th Grade Basketball $40
Total Amount
$
Payment method
*
Paypal
Credit Card
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
01
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05
06
07
08
09
10
11
12
/
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Card (CVV) Code
*
Card Type
*
Visa
MasterCard
Discover
American Express
Card Holder Name
*
Verification code
*