Juniors Registration Payment Page - WASH Lifeguard Certifications

Credit Card Payment with Stripe for Jrs Registration

Name on Credit Card

First

Last Name

Last

Credit Card Details

Product

Quantity (see below)

Quantity Should be Equal to the # of Junior Lifeguard Participants in Your WASH Program.

Total

Authorization of Payment

I and/or my Organization hereby authorize(s) World Academy of Safety & Health (WASH) charge my credit card and/or debit card and confirm that the information for the credit card and billing address is complete and accurate. I have been informed that I waive my right to dispute the charges and/or initiate a chargeback assuming the amount charged matches the amount listed above. If I and/or my Organization is on thirty (30) Days Net Terms, I and/or my Organization further agree to submit payment, in full, within thirty (30) days of the date of this submission. A 3.5% or the maximum amount permitted by law (whichever is greater) per month late fee will be added to my and/or my organization’s account if balance is not paid in full within thirty (30) days.

Agreement

I agree to the World Academy of Safety & Health (WASH) Privacy Policy & Terms and Conditions

Signature

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Date

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