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JCC Masters Monthly Autopay Enrollment
Monthly $80 autopay registration only
. Drop-ins can be charged on a case by case basis by paying online at
https://www.lfjcc.org/qualcomm/mastersswimming.aspx
.
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Email
*
Your email
Full Name on JCC Membership (First, Last)
*
Your answer
Membership ID# (5 or 6 digits at the bottom of your membership card)
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Your answer
Which card would you like used for masters payments?
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The same card used for JCC membership dues
Another card on file
If you would like a different card charged, indicate which card (i.e. "My Visa 1234 is used for membership, please use Mastercard 5678 for masters)
NOTE: PLEASE MAKE SURE THE CARD YOU INDICATE IS ON FILE WITH GUEST SERVICES, OTHERWISE I WILL CHARGE THE CARD USED FOR MEMBERSHIP DUES.
Your answer
JCC Masters Payment Policies
*
I have read and understood the 'JCC Masters Payment Policies' document above
I understand that by submitting this form I am enrolling in autopay beginning 2/1/2023
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A copy of your responses will be emailed to the address you provided.
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