Summer Fields Application Fee Payment

* Denotes Required Field
*The application:
*First Name:
*Last Name:
*Address 1:
Address 2:
*Zip or Postal Code:
*Total Cost:
*Card Type:
*Card # (do not use spaces)
*Name on card:
*Expiration Date Month Year

Please click 'Submit' only once. The process may take up to one minute to complete. Clicking 'Submit' more than once may result in multiple charges to your credit card.