Community, Events, FrontPagePost Texas Hold ‘Em Poker & Game Night February 5, 2019 wordpressadmin Home > Community Url This is for signup and payment by credit card only. Otherwise call the office to sign up Individual or Family * Individual - $35 Family - $50 Total Total: Please consider an additional donation. Additional Donation * Total with donation Total with additional donation: Will you add 3% to cover the cost of the credit card fee? Add 3% Yes No Amount to be charged to credit card Total with additional donation and credit card fee choice: The following is your credit card information. Please be sure that the information matches the card that you are using. First Name * Last Name * Email * Name On Card * Billing Address Line 1 Billin Address Line 2 City Zip Code * State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Card Number * Expiration Month * Must be 2 digits! 01 for January, etc Expiration Year * CVV * Scroll up and look for required fields or credit card messages if clicking on Pay doesn't take you to another page. Neither the credit card number nor the cvv code are seen or kept by CBHT. No personal data is sold by CBHT.