Float Membership Options *
I would like to help a veteran float by donating
I authorize Waves Float Center to charge my credit card indicated below each month for payment of the above checked Float Membership. I understand that I will only receive advance notice of the charge if it exceeds my membership level.
Name *
Name
Date *
Date
Billing Address *
Billing Address
Card Expiration Date *
Card Expiration Date
Cardholder Name *
Cardholder Name
Phone *
Phone
Signature *
Signature