Boys and Girls Clubs of Greater Santa Rosa
About
Join
Programs
BGCSR Alumni
Contact Us
Sports
Youth Basketball
News & Events
Donate
Home
About
Join
Programs
BGCSR Alumni
Contact Us
Sports
News & Events
Donate
Membership Payment
Home
/
About
/
Join
/
Membership Payment
Membership payments are due on the last Friday of the month prior to the month you are paying for.
Membership Payment
Parent Name (Please enter the name given when registering)
*
First Name
Last Name
Child Name
*
First Name
Last Name
Acknowledgement
*
By checking this box I acknowledge that I will not receive a refund or credit for any reason at any time.
Membership Payment Amount
*
Processing Fee
$3.5% processing fee
Payment
*
Cardholder Name
VISA
MasterCard
American Express
Discover
JCB
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Date
Security Code
Total
$
0.00