Please use the following form to pay the application fee. If your application is denied, you will receive a $50 refund.Fee amount (after Sept 7, before Sep 30)* $75 Name* First Organization Name* Email* Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number MM010203040506070809101112 YY20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Total $0.00