Group Member Payments Band Payment Forms Student Name* First Last Parent/Guardian Name* First Last Phone*Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of the individual in band to credit.*1st Winter Park trip installment for $275 Quantity Price: $103.50 Quantity Sept. 10th - $100 + $3.50 in Paypal fees2nd Winter Park installment fort $175 Quantity Price: $181.12 Quantity Oct. 15th - $175 + $6.12 in PayPal fees3rd Winter Park installment fort $400 Quantity Price: $414.00 Quantity Nov. 15th - $400 + $14 in PayPal fees4th Winter Park installment fort $400 Quantity Price: $414.00 Quantity Jan. 15th - $400 + $14 in PayPal feesVarsity Marching Band Quantity Price: $129.04 Quantity $125 + $4.04 in Paypal feesJV marching band Quantity Price: $77.55 Quantity $75.00 + $2.55 in Paypal feesDrill Team Quantity Price: $51.75 Quantity $50.00 + $1.75 in Paypal feesMake other payments Quantity Price: $1.03 Quantity Miscellaneous Payments Quantity Price: $1.03 Quantity Please make sure to leave a note in PayPal of what the payment is for. Use Quantity Field as a Multiplier. $1.03 * 50 (Quantity) = $51.5Total $0.00
