2014 Spring PAY FOR A TEAMMATE

PAY FOR A TEAMMATE

Pay for one or more players now. The price is $130. Please list your details as accurately as possible, so that your payment is applied correctly. List your coaches email so your coach can track who's paid and who has not.
Option

I'm paying for more than one player at this time.
NAMES OF PLAYERS*
If they're on different teams, indicate which here.
Player's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Your E-mail*
TEAM NAME
Coach's Name*

First NameLast Name
Coach's E-mail*
Gender*
Team's Grade Level*
Competition Level*

Payment

Current Per Player Rate$130.00

How Many Players?

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country