NSLN NSLN Payment School Name Email Number of Teams ($600 per team, up to 3 individuals including competitors and coaches) Quantity(Required) Price: $600.00 Quantity Note: There is an additional charge of $50 per person beyond 3 per team (including coaches). If you anticipate having more than 3 individuals per team please contact Prof. Semeraro at ssemeraro@tjsl.edu. Add Extra Coach?(Required)YesNoTotal Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Your Name(Required)