CCHPC PayPal Payment Form
Play Day and Speed Series
Play Day or Speed Series Date
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Month
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Day
Year
Date Picker Icon
Rider Name
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Charge Type
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Office Charge - Member
$5.00
$
5.00
Quantity
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Item subtotal:
$0.00
$
0.00
Office Charge - Non-Member
$10.00
$
10.00
Quantity
0
1
2
Classes
$2.00
$
2.00
Quantity
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Total
$0.00
$
0.00
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