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How much do you intend to pay (separate from this form)?
$150 Veterans - full season
$125 Partial Payment
$100 Partial Payment
$75 Partial Payment
$60 Rookie / College Student
$50 Partial Payment
$30 Partial Payment
$25 Partial Payment
$10 Partial Payment
$0 Registering Only
If you believe you are exempt from paying dues please explain why
Payment Options: Pay separately. Be VERY specific in your memo when paying, thanks.
Venmo = @bham-rugby
PayPal = bhamrugby@gmail.com
Mail check made out to "Birmingham Rugy" to Birmingham Rugby, P.O. Box 59262, Birmingham, AL 35259
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