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12th - girls formerly in 204, 210
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Support Bruriah
Please use the form below to select and pay for your team uniform.
First Name
*
Last Name
*
Phone
*
Email
*
Comment
Sport
*
Middle School Sweatpants $12
MS Basketball Shirt $25 per shirt (2)
Basketball Varsity and JV $25 per shirt (2)
Softball $25
Soccer Varsity and JV $25 per shirt (2)
VB Varsity and JV $28
Replacement Shirt $25
Total Amount
$
Payment method
*
Paypal
Credit Card
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Card (CVV) Code
*
Card Type
*
Visa
MasterCard
Discover
American Express
Card Holder Name
*
Verification code
*
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