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Single Team Tournament Payment

This form is for a single team payment. If you are paying for multiple teams, use this form.

Tournament Date*
Team Name*
Team Grade(s) & Gender(s)*
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Registration Payment*
Price: $175.00
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.