VRC Season Membership – 3 Installments

Name:

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone:* Phone is Required

Wechat Username (if applicable): Wechat Username (if applicable) is not valid

Parent 2 First Name:* Parent 2 First Name is Required

Parent 2 Last Name:* Parent 2 Last Name is Required

Num of Children Registering:* Num of Children Registering is Required

Child First Name:* Child First Name is Required

Child Last Name:* Child Last Name is Required

Child Grade:* Child Grade is Required

Child 2 First Name: Child 2 First Name is not valid

Child 2 Last Name: Child 2 Last Name is not valid

Child 2 Grade: Child 2 Grade is not valid

Child 3 First Name: Child 3 First Name is not valid

Child 3 Last Name: Child 3 Last Name is not valid

Child 3 Grade: Child 3 Grade is not valid

Child 4 First Name: Child 4 First Name is not valid

Child 4 Last Name: Child 4 Last Name is not valid

Child 4 Grade: Child 4 Grade is not valid

Child 5 First Name: Child 5 First Name is not valid

Child 5 Last Name: Child 5 Last Name is not valid

Child 5 Grade: Child 5 Grade is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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Pay Silver Owl Robotics

3 payments of $2,034 / Month (price includes taxes)

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Terms: 3 payments of $2,034 / Month (price includes taxes)

	VRC Season Membership - 3 Installments – Initial Payment 3 payments of $2,034 / Month (price includes taxes)	$1,800.00
	Sub-Total	$1,800.00
	13% Ontario HST	$234.00
	Total	$2,034.00

VRC Season Membership - 3 Installments – Initial Payment

3 payments of $2,034 / Month (price includes taxes)

$1,800.00

Sub-Total

$1,800.00

13% Ontario HST

$234.00

Total

$2,034.00