SCU Extended Payment Request-Competitive Program

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Use this form to request an additional option of 9-payments or choose Other and enter your proposed plan.

You will still need to register with the given options and pay the $150 deposit, but we will then adjust the payments on your account. Please be aware that automatic payments start on July 15 and continue on the 15th thereafter. Be sure to register with enough time before those dates in order for your request to be reviewed and processed.

Questions? Contact admin@spacecoastsoccer.org

Email *

PLAYER INFORMATION

Player First Name *

Player Last Name *

Team

PARENT INFORMATION

First Name *

Last Name *

Choose plan (if Other, enter plan) *

9-Payment Plan: $150 deposit and 9 payments to March

Other:

Required

If Other, please describe circumstances to request beyond March 15

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