CourtMoney - Payment Information

Payment For: Rock Port City MO Pool Pass Payments - 1032107

VISA, Mastercard, Discover, and American Express are accepted. Your credit card statement will reflect a charge to MCM*.

Payment will be sent to
Rock Port City Missouri
500 South Main
Rock Port, MO 64482

Products

Description

Quantity

Cost

Shipping

Total

Family Season Pass:

Up to 5 family members

Min	Max	Cost	Shipping
1.00	1.00	$125.00	$0.00

$0.00

Each additional family member:

Min	Max	Cost	Shipping
1.00	5.00	$15.00	$0.00

$0.00

Single Season Pass:

Min	Max	Cost	Shipping
1.00	1.00	$60.00	$0.00

$0.00

Add Babysiter:

Babysitter pass is only valid when babysitting children on pass.

Min	Max	Cost	Shipping
1.00	1.00	$20.00	$0.00

$0.00

Senior Citizen - Single Season Pass (65+):

Min	Max	Cost	Shipping
1.00	1.00	$50.00	$0.00

$0.00

Senior Citizen - Family Season Pass (65+):

Min	Max	Cost	Shipping
1.00	1.00	$110.00	$0.00

$0.00

Total

Totals:

Sub-Total:*

Technology Fee:*

Fees associated with using CourtMoney.

Total Payment:*

The total amount that will be charged.

Transaction Information

Name: *

Home Phone #: *

Alternative Phone #: *

Street Address: *

City/State/Zip: *

Names of all family members and babysitter using this season pass. Include ages of ALL children.: *

Only family living in home & babysitter may be included

I understand that in order for this pool pass to be valid, after making this payment, I must go to the City of Rock Port website and complete the Swimmer’s Code of Conduct.: *

Yes

Cardholder Phone #: *

Payment Information

Credit Card Information

Name on Card:*

First & Last Name Only - Do not include a middle name or initial

Credit Card Number:*

Expiration:*

CVV:*

Card Type:*

Billing Information

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Country:*

Email Address:*

Used to email receipt to payor.

Shipping Information

Same as Billing Information

Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Fees associated with using CourtMoney

$50.00 and under, flat $2.00 fee
$50.01 and above then 4.00% of total

Min	Max	Amount
$ 0.00	$ 1,000.00	4.00%

Make a Payment

Payment For: Rock Port City MO Pool Pass Payments - 1032107

Products

Family Season Pass:

Each additional family member:

Single Season Pass:

Add Babysiter:

Senior Citizen - Single Season Pass (65+):

Senior Citizen - Family Season Pass (65+):

Transaction Information

Payment Information

Shipping Information