<DIV align=center></DIV>
<DIV align=center>
<P><FONT size=6>Miami Rowing & Watersports Center<BR><FONT 
size=5>Membership and Program Services Online Payment Page <BR><FONT size=3><B><FONT 
color=red>Important</B></FONT>-The personal and credit card information 
requested on the next page should exactly match the information on your credit 
card account.</P></DIV>

<FORM action=https://pay1.plugnpay.com/payment/miamirowinpay.cgi method=post><!-- NOTE: 'publisher-email' is set within the Email Management admin area. --><INPUT 
type=hidden value=miamirowin name=publisher-name> <INPUT type=hidden 
value=website_order name=order-id> <INPUT type=hidden value=Visa,Mastercard,Amex 
name=card-allowed> <INPUT type=hidden value=0 name=shipinfo> <INPUT type=hidden 
value=1 name=easycart> <INPUT type=hidden value=USD name=currency> <INPUT 
type=hidden value=$ name=currency_symbol> <INPUT type=hidden value=itemized 
name=receipt_type>
<DIV>


<TABLE BORDER CELLPADDING=8>

<TR><TD>Item</TD><TD>Cost</TD><TD>Quantity</TD></TR>



<TD><FONT size=4><B>Donate to the Miami Rowing Club</B></FONT><FONT size=2><I><B>  A 501(C)3 Organization - All Donations are Tax-Deductible</B></I></FONT></TD></TR>

</TD></TR>



<TR><INPUT type=hidden value=013 name=item13> 

    <TD align=middle><INPUT type=hidden value=Donation-MRC name=description13 Fund General>MRC General Fund</TD>

    <TD align=middle>$<INPUT size=8 name=cost13></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity13></TD></TR>



<TR><INPUT type=hidden value=058 name=item58> 

    <TD align=middle><INPUT type=hidden value="2010-11 YP Equipment Donation (Restricted & Tax Deductible)" name=description58>Restricted Donation - Youth Program Equipment Fund</TD>

    <TD align=middle>$<INPUT size=8 name=cost58></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity58></TD></TR>





<TR><INPUT type=hidden value=014 name=item14> 

    <TD align=middle><INPUT type=hidden value="Restricted Donation MRC Equipment Fund (Non-YP)" name=description14 Restricted Donation>Restricted Donation - MRC Equipment Fund (Non YP)</TD>

    <TD align=middle>$<INPUT size=8 name=cost14></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity14></TD></TR>


<TD align=middle><INPUT type=hidden value150="Sculling Camp (May 17-June 4)" name=description150> Sculling Camp (May 17-June 4)</TD>

    <TD align=middle><INPUT type=hidden value=175.00 name=cost150> $175.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity150></TD></TR> 



  

<TR><INPUT type=hidden value=059 name=item59> 

    <TD align=middle><INPUT type=hidden value="Youth Program Other Payments" name=description59> Youth Program Other Payments</TD>

    <TD align=middle>$<INPUT size=8 name=cost59></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity59></TD></TR>



<TD><FONT size=4><B>Spring 6th-8th Grade Rowing </B></FONT></TD> 

<TR><INPUT type=hidden value=100  name=item100> 

    <TD align=middle><INPUT type=hidden value="6th-8th Grade Spring Tuition" name=description100> 6th-8th Grade Spring Tuition</TD>

    <TD align=middle><INPUT type=hidden value=550.00 name=cost100> $550.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity100></TD></TR>



<TD><FONT size=4><B>Intro2Rowing Weekends</B></FONT></TD>



<TR><INPUT type=hidden value=033 name=item33> 

    <TD align=middle><INPUT type=hidden value="Intro2Rowing Weekend name=description33>Intro2Rowing Weekend</TD>

<TD align=middle><INPUT type=hidden value=75.00 name=cost33> $75.00</TD>

  <TD align=middle width="10%"><INPUT size=2 name=quantity33></TD></TR> 





<TD><FONT size=4><B>Adult Learn2Row</B></FONT></TD>

<TR><INPUT type=hidden value=036 name=item36> 

    <TD align=middle><INPUT type=hidden value="Learn2Row 3 Week Class" name=description36>Learn2Row 3 Week Class</TD>

<TD align=middle><INPUT type=hidden value=198.00 name=cost36> $198.00</TD>

  <TD align=middle width="10%"><INPUT size=2 name=quantity36></TD></TR> 





<TR><TD><FONT size=4><B>General Membership Initiation Fees</B></FONT></TD></TR>



<TR><INPUT type=hidden value=001 name=item1>

    <TD align=middle><INPUT type=hidden value="Regular Family Initiation Fee" name=description1> Regular Family Initiation Fee</TD>

    <TD align=middle><INPUT type=hidden value=500.00 name=cost1> $500.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity1></TD></TR>

  

<TR><INPUT type=hidden value=002 name=item2> 

    <TD align=middle><INPUT type=hidden value="Individual (30 or Older) Initiation Fee" name=description2> Individual (30 or Older) Initiation Fee</TD>

    <TD align=middle><INPUT type=hidden value=250.00 name=cost2> $250.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity2></TD></TR>

  

<TR><INPUT type=hidden value=003 name=item3> 

    <TD align=middle><INPUT type=hidden value="Individual (Less than 30) Initiation Fee" name=description3> Individual (Less than 30) Initiation Fee</TD>

    <TD align=middle><INPUT type=hidden value=125.00 name=cost3> $125.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity3></TD></TR>

  

<TR><INPUT type=hidden value=004 name=item4> 

    <TD align=middle><INPUT type=hidden value="Junior (18-22) Initiation Fee" name=description4> Junior (18-22) Initiation Fee</TD>

    <TD align=middle><INPUT type=hidden value=75.00 name=cost4> $75.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity4></TD></TR>







<TD><FONT size=4><B>General Membership Fees & Monthly Dues</B></FONT></TD>



<TR></TR><INPUT type=hidden value=005 name=item5> 

    <TD align=middle><INPUT type=hidden value="Regular Family Monthly Fee" name=description5> Regular Family Monthly Fee</TD>

    <TD align=middle><INPUT type=hidden value=75.00 name=cost5> $75.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity5></TD></TR>

  

<TR><INPUT type=hidden value=006 name=item6> 

    <TD align=middle><INPUT type=hidden value="Individual (30 or Older) Monthly Fee" name=description6> Individual(30 or Older) Monthly Fee</TD>

    <TD align=middle><INPUT type=hidden value=75.00 name=cost6> $75.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity6></TD></TR>

  

<TR><INPUT type=hidden value=007 name=item7> 

    <TD align=middle><INPUT type=hidden value="Individual (Less than 30) Monthly Fee" name=description7> Individual(Less than 30) Monthly Fee</TD>

    <TD align=middle><INPUT type=hidden value=50.00 name=cost7> $50.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity7></TD></TR>

  

 

<TR><INPUT type=hidden value=010 name=item10> 

    <TD align=middle><INPUT type=hidden value="Summer (3 months) Fee" name=description10> Summer (3 months) Fee</TD>

    <TD align=middle><INPUT type=hidden value=240.00 name=cost10> $240.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity10></TD></TR>





<TD><FONT size=4><B>Boat Support System Fee </B></FONT></TD>

 

<TR><INPUT type=hidden value=011 name=item11> 

    <TD align=middle><INPUT type=hidden value="Boat Support System Yearly Fee (1X)" name=description11> Boat Support System Yearly Fee (1X)</TD>

    <TD align=middle><INPUT type=hidden value=300.00 name=cost11> $300.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity11></TD></TR>

  

<TR><INPUT type=hidden value=012 name=item12> 

    <TD align=middle><INPUT type=hidden value="Boat Support System Yearly Fee (2X)" name=description12> Boat Support System Yearly Fee (2X)</TD>

    <TD align=middle><INPUT type=hidden value=600.00 name=cost12> $600.00</TD>

    <TD align=middle width="10%"><INPUT size=2 name=quantity12></TD></TR> 





<TD><FONT size=4><B> Coaching Fees</B></FONT></TD>



<TR><INPUT type=hidden value=0501 name=item501> 

    <TD align=middle><INPUT type=hidden value="Hugh Stevenson Group Classes" name=description501><b>Hugh Stevenson</b> Group Morning Classes (Member)</TD>

<TD align=middle><INPUT type=hidden value=25.00 name=cost501> $25.00</TD>

  <TD align=middle width="10%"><INPUT size=2 name=quantity501></TD></TR> 



<TR><INPUT type=hidden value=0200 name=item200> 

    <TD align=middle><INPUT type=hidden value="Cesar Sculling Clinic" name=description200>Cesar Sculling Clinic (Member)</TD>

<TD align=middle><INPUT type=hidden value=75.00 name=200</TD>$75

  <TD align=middle width="10%"><INPUT size=2 name=quantity200></TD></TR> 



<TR><INPUT type=hidden value=0201 name=item201> 

    <TD align=middle><INPUT type=hidden value="Cesar Sculling Clinic (non-member)" name=description201>Cesar Sculling Clinic (Non-Member)</TD>

<TD align=middle><INPUT type=hidden value=150.00 name=cost201> $150.00</TD>

  <TD align=middle width="10%"><INPUT size=2 name=quantity201></TD></TR> 





<TR><INPUT type=hidden value=030 name=item30> 

    <TD align=middle><INPUT type=hidden value="MRC Member - Miscellaneous" name=description30> <B>MRC Member</B> - Miscellaneous Coaching</TD>

    <TD align=middle>$<INPUT size=8 name=cost30></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity30></TD></TR>





<TR><INPUT type=hidden value=035 name=item35> 

    <TD align=middle><INPUT type=hidden value="MRC Non-Member - Miscellaneous" name=description35> <B>MRC Non-Member</B> - Miscellaneous Coaching</TD>

    <TD align=middle>$<INPUT size=8 name=cost35></TD>

    <TD align=middle width="10%">N/A<INPUT type=hidden value=1 name=quantity35></TD></TR>



</TABLE>







</TD></TR></TBODY></TABLE></DIV>
<DIV align=center>
<P><INPUT type=submit value="Submit Order" name=return>   <INPUT type=reset value="Clear Form"> 
</P></DIV></FORM></FONT></FONT></FONT>
