Athlete Payments - Maryland 5 Star at Fair Hill

Please complete all of the required (*) information below. For questions or more information please contact Competition Director, Mary Coldren at mary@maryland5star.us or Competition Manager, Kaleigh Collett at kaleigh@maryland5star.us. Upon payment, a confirmation will be sent to you at the email address provided below.

Payee's Name *

First

Last

Athlete's Name *

First

Last

Mobile Phone Number *

Email *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Level of Competition *

5 Star (CCI5*-L)
3 Star (CCI3*-L)
Young Event Horse - 5-Year-Olds
Young Event Horse - 4-Year-Olds

Please select the level(s) of competition in which you are competing at the Maryland 5 Star at Fair Hill.

Athlete Payment Amount *

There is a 2.9% service fee for each credit card transaction included in your total amount due provided by the Event.

Description of Payment *

Please provide a description of the charges you are submitting payment for in this form (i.e. additional tack stall, camper hookup, etc.).

Authorize.Net *

Card Number

Expiration

Security Code

Please ensure your address and/or zip code listed above matches the information you have on file with your CC company. If there is not a match the payment will not go through. If you have problems with the payment going through, save and contact admin@maryland5star.us.

Save and Resume Later