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Warrior Club Membership Form

Fill out the following form below and your credit card will automatically be charged one time for the amount you specify.

*Member Name

*Email

*Address

*City St, Zip

Country

*Phone

Fax

Spouse Name

Spouse Email

*Charge Amount

*Credit Card #

*First Name on Credit Card

MI on Credit Card

*Last Name on Credit Card

*Exp. Month

*Exp. Year

*Billing Address

*City St, Zip

* Indicates required fields

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17521 Monitor Avenue

Baton Rouge, LA 70817

Office 225-753-9782

Fax 225-753-0605

INFORMATION@SMHSBR.ORG

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St. Michael The Archangel High School does not discriminate on the basis of race, color, sex, national or ethnic origin in its educational programs, activities, or employment policies.