Credit Card Payment Form * required field
 
Which Games?*
 
Credit Card Details
  Visa, Mastercard & American Express Only
Card Number*
Expiry* /
Card Verification Number*  (MC and Visa - 3 digits printed on back of card, Amex - 4 digits on the front)
First Name*
Last Name*
Phone Number*
Email (if tax invoice/receipt required)
Amount* $
.
2% Transaction Fee (auto calc) $  
Total (auto calc) $  
 
Payment Details
What Company/Organisation? *
 

What/who is this payment for?*
Entrant Name(s)/Sport/team?  

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Tax Invoice will only be issued if email supplied above