Lordz Dues payment formPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Please choose the option that best fits your needs, or enter the amount you prefer to pay in the next field.Full Dues - $187.00Half Dues - $95.00Quarterly Dues - $54.00**Dues include transaction fees**Total *$0.00"If you're not accessing this form from your desktop using Chrome, you may encounter an error."Check Box below if you agree *By submitting this Online Dues Application, I confirm that the provided information above is accurate and comprehensive. Furthermore, I hereby agree to comply with the rules and regulations established by the Cigar Lordz and complete the payment process after submitting. If paying via PayPal scroll to the bottom of the page.PayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameDate Signature * Clear SignatureSubmit
