Arizona Debate Institute

Hosted by Arizona State University

35th annual meeting; July 30-August 12, 2012

For more information, please email us at arizonadebateinstitute@gmail.com.

Instructions for payment

To make your deposit or pay the remainder of your registration fees, you can write a check or make a credit card payment.

Checks:  Should be made payable to "ASU Forensics" and put "Arizona Debate Institute" in the comment line.  For personal checks, please be sure to include the name of the student and school in the memo line.

Address: Adam Symonds, Hugh Downs School, PO Box 871205, Tempe, AZ 85287-1205.

 

To make a Credit Card payment, print and complete the form below, then select one of the following 3 options:

1) Fax the completed form to 480-965-4291, ATTN: Adam Symonds.

2) Mail the completed form to Adam Symonds, Hugh Downs School, PO Box 871205, Tempe, AZ 85287-1205.

3) Call Adam at 480-338-5624 with the information from the completed form.

 

Credit Card information (Visa or Mastercard accepted):

 

Name of ADI Student:__________________________________________________________________________

 

School______________________________________________________________________________________

 

Email________________________________________________________________________________________

 

Amount Authorized: ___________________________________________________________________________

 

Card Number: ________________________________________________________________________________

 

3 digit security code: __________________________________________________________________________

 

Expiration date: _______________________________________________________________________________

 

Full Name on the card: _________________________________________________________________________

 

Billing Address: _________________________________________________________________________________________________

 

Billing Phone Number: _________________________________________________________________________

 

Signature: ________________________________________________________   Date: _____________________