Options T-Shirt If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Number of Shirts 0 1 2 3 4 5 6 7 8 9 10 Ticket Total x $20.00 = $0.00 Student Information First Name * Last Name * Personal/Billing Information First Name * Last Name * Email * Phone * Street * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Payment Information Payment Method Credit CardeCheck Bank Name * Account Type Personal Business First Name * Last Name * Company Name Card Number Security Code Expiration date 010203040506070809101112 201920202021202220232024202520262027202820292030203120322033203420352036203720382039 Bank Routing Number Checking Account Number By clicking the submit button, you authorize Cathedral Catholic High School to use information from your check to initiate a one-time fund transfer from your account or to process the payment as a check transaction or bank drawn draft from your account. If your payment is returned due to insufficient funds, you authorize us to make a one-time electronic funds transfer or to use a bank draft drawn from your account to collect a fee as allowed by state law. Total amount:
