Ajax Utah FC Club Fee Payments
Please fill out the details of the form before making a payment to your Club Fee Account. We appreciate your being part of the Ajax Utah FC Program!
TO leave a CC on file please note we will destroy CC, unless you authorize us to use it for reoccurring payments.
Name
Phone
Email
Credit Card
Please Select
Visa
Master Card
American Express
Card #
Exp Date
CCV # (3 digits)
Authorize to keep CC on file
Please Select
Yes
No
Comments
Club Fee Payments
$
This is to capture payments for club fees and any other fees that are owed to Ajax Utah FC. Please Enter the Amount Here.
Ajax Utah FC Club Fees (Via Paypal)