Miscellaneous Payment Portal – Renegades Basketball Inc.

Miscellaneous Credit Card Payment

Miscellaneous Payment – a 5% Processing fee added to all at checkout

Payment Amount *

Enter USD currency as xx.xx

Description of payment *

Billing Info

First Name *

First

Last Name *

Last

Email *

Address *

Address

Street Address

Street Address

Building/Suite/Apartment #

Building/Suite/Apartment #

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Charges

Credit Card

Credit Card

Credit Card

Credit Card

Credit Card

Credit Card

reCAPTCHA

If you are human, leave this field blank.