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Individual Registration

Please enter information in the form below to process registration for event Member Registration 2023-2024.

First Name *

Last Name *

Address *

City *

Zip *

State

Phone

Email *

Are you a new member to Cedar Rapids Curling?

Yes

Comment

Coupon

Amount

Discount Amount

Gross Amount

Payment Method *

Pay at Door or Mail Check Pay Online - Visa, MC, Disc, AmEx

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

Cedar Rapids Curling