Payment

THE OFFICIAL YOUTH PROGRAM OF THE UNLV REBEL GIRLS & COMPANY

Rebel Dolls

3 Digit CVV Code *

First & Last Name on Card *

State *

Email *

Choose the following option *

Registration Payment

Tuition Payment

Uniform Payment

Party Payment

Participant's Name *

City *

This is the card I would like to keep on file for future program payments *

Yes

No (if no, please re-submit a separate form of payment to keep on file)

Zip Code *

Expiration Date *

Card Number *

Billing Address *

& JUNIOR COMPANY

Payment​​