Fall 2020 GAHL Payment Plan- Greensboro Ice House

Name *

First

Last

Email *

Email

Confirm Email

Phone Number *

How many teams are you playing on this season? *

First Team

First League

First Team Name

(List "Unassigned" if not known)

Second Team

Second League

Second Team Name

(List "Unassigned" if not known)

Third Team

Third League

Third Team Name

(List "Unassigned" if not known

I agree to the terms and conditions of the payment plan listed below. I also understand that this is an electronic signature. *

Yes, I understand and agree

Please note: $25 service fee will be included in final payment plan charge.
Remaining balance due October 5th, 2020.
All players electing to do the payment plan are responsible for making their final payment before the deadline listed above. The Greensboro Ice House does not save and re-process credit cards from the original payment date.

Failure to pay balance by the due date listed above may result in a suspension from league play.

Payment Information

Name (as it appears on your card)

Credit Card Number

Expiration Date

Comments

**If you would like to provide card information over the phone, please indicate so in the comments box above. Our admin team will contact you when processing your submission.

Fall 2020 GAHL – Payment Plan

First Team

Second Team

Third Team

Payment Information