D4K Horse Lease Payments : Programs : Dressage4Kids

Name of Lessee

First Name *

Last Name *

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Phone Number

Name of horse or pony

Lease Fee

(type in the monthly lease fee amount)

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Make this a recurring payment?

Make this a recurring payment?

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged