CLINIC PAYMENTS Balance Due

Select Clinic Date(Required)

First Name(Required)

Last Name(Required)

Email(Required)

3-Day Clinic Balance

Price: $567.00

3% fee included

5-Day Clinic Balance

Price: $927.00

For riders who paid $350 deposit with registration. 3% fee included

5-Day Clinic Balance

Price: $773.00

For riders who paid $500 deposit with registration. 3% fee included

5-Day Clinic Balance with Stall

Price: $927.00

For CO clinic riders who paid $500 deposit with registration. 3% fee included

Total

Credit Card(Required)

Card Details

Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

Clinic Balance Payment