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Snack Bar Account 2018

Account Information

Family Last Name : 
Users : 
(Listed users must be on your MJCCA membership account)
Home Phone # : 
Account users will be required to verify their home phone number for security.
 (555-555-5555)
Cell Phone # : 
 (555-555-5555)
Alt Phone # : 
 (555-555-5555)
Email : 

Account Authorization

By registering for an outdoor pool snack bar account with the MJCCA, I authorize charges for the purchase of snack bar concessions by myself or other individuals on my membership account to be charged to my membership account. Monthly snack bar balances will be charged to the credit card provided below around the 30th of each month (June, July, August & middle of September). Charges will appear as Point of Sales Transaction on your monthly statement. Snack bar balances that remain unpaid 30 days beyond invoice date will automatically charged to credit card entered above.

Waiver

I HAVE READ THE MARCUS JEWISH COMMUNITY CENTER OF ATLANTA RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE, CONTINUING AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT OF THE LAW.


Payment Information

Card Type : 
 Visa  MasterCard  AmEx  Discover
Name on Card : 
Credit Card # : 
Expiration : 

Snack Bar Payment

  • Items will appear on your monthly statement as Point of Sale Transactions.
  • Monthly balances not paid will be charged to your credit card provided upon authorization on or around the 30th of each month.
  • Snack bar balances will be closed out on September 1, 2018. Your credit card number will be securely stored and purged at the close of the season.

Contact

Snack Bar
678.812.3862

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