2023 Salem Haunted Happenings

This is ONLY for registration with credit card payment for the A&R trip to Salem Haunted Happenings October 21, 2023. If you wish to pay by check, then do NOT fill this out, fill out the paper form and mail it in to the A&R Office...you can also pay in person at the A&R Office.

A&R Member's Full Name *

Home e-mail Address *

Cell Phone # *

Number of Tickets ($83 each) *

Total Payment Amount

Type of Credit Card *

By checking this box, I am agreeing to allow A&R to process payment from my listed card for tickets to this event. The charge may appear on your bill as "Am. Fed of Teachers" rather than A&R...it's how our account is set up, it is not a scam. *

I agree

Name On Credit Card *

Street Address Associated With Credit Card *

City Associated With Credit Card *

ZIP Code Associated with Credit Card

Credit Card Number

Security Code *

Expiration Date of Card *

Month

Day

Year