Rugby State Ring Payment

Forms

Required

Participant's Namerequired

First Name

Last Name

Parent/Guardian Namerequired

First Name

Last Name

Parent/Guardian Emailrequired

Shipping fee:required

$6.95 ($6.95)

Skip shipping fee (only for overpayments)

Emailrequired

Provide an email address for the receipt.

Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year