Awana Clubs Quick Credit Card Payment Form
This form is only for quick payment. To use this form you should have already provided your written registration information to a staff member.
Payment & Dues
The cost is $35 for each child enrolled in Awana clubs. This cost covers dues, books, and uniform (if needed), and to offset the cost of the program.
One child: $35 Two children: $70 Three children: $105 Four children: $140 Five children: $175
Name
*
Payment
One Child (Credit) ($35)
Two Children (Credit) ($70)
Three Children (Credit) ($105)
Four Children (Credit) ($140)
Five Children (Credit) ($175)
One Child (Credit) ($35)
Two Children (Credit) ($70)
Three Children (Credit) ($105)
Four Children (Credit) ($140)
Five Children (Credit) ($175)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
This form is only for quick payment. To use this form you should have already provided your written registration information to a staff member.
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