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South Jersey Roller Derby - New Skater Registration


DUES AUTO-CHARGE Authorization



I authorize South Jersey Derby Girls to charge the credit/debit card/checking account listed below for my dues of either:


š         Monthly Recurring Membership            $50

š        Six-Month Membership (gives you one month free):  $250


Monthly Dues Recurring Subscription

Pull Down to Choose either Monthly Recurring or Six-Month Prepay

One-Time Donation

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