South Jersey Roller Derby - New Skater Registration

SOUTH JERSEY DERBY

DUES AUTO-CHARGE Authorization

 

 

I authorize South Jersey Derby Girls to charge the credit/debit card/checking account listed below for my dues of either:

 

š         Monthly Recurring Membership            $50

š        Six-Month Membership (gives you one month free):  $250

 

Monthly Dues Recurring Subscription

Pull Down to Choose either Monthly Recurring or Six-Month Prepay

One-Time Donation