Please enter the total amount you are paying from your AFC Statement in the 'Contribution Amount' field - OR - the amount of payment you would like to make against your balance.

Total Amount
Application of your payment for AFC Player:

Please indicate the player(s) name that you are making payment for.

(First & Last Name)
Credit Card Information
Usually the last 3-4 digits in the signature area on the back of the card.
Billing Name and Address
Captcha Please check the box below.