PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

Rio Americano Athletic Boosters Membership Form 2014-2015

Your membership is critical to the success of ATHLETICS at Rio. Membership dues are the largest source of income. All of the money spent by RAAB directly supports ALL of the athletic programs at Rio. Your contributions are essential since the District funds no longer cover the cost of your child's sport.

Support Rio athletics by becoming a RAAB member join today!

Your contribution to RAAB is tax-deductible (Federal tax ID #94-2825189).

* Parents' Name(s)

* Parents' E-mail

* Phone

STUDENT INFORMATION (include student's last name)

* Student 1 Full Name

* Class of

* List All Sport(s)

Student 2 Full Name

Class of

List All Sport(s)

FULL-YEAR MEMBERSHIPS (select all that apply).

Athlete - $50 per sport $

Enter donation amount

Additional $ Contribution:

Rio Football Social $

...General fund $

Enter donation amount

...RAAB Needs Scholarship(s) $

Enter donation amount

...to Specific Sport(s) $

Enter donation amount and list the sports on the following line

List Specific Sports for Additional Contributions

Thank You!

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Total: