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2010 Fall Season Individual Payment Form


Division:
Player's Full Name : *

CREDIT CARD HOLDER INFORMATION

* Full Information for yourself is mandatory


Full Name : *
Email : *
Contact # : *
Address : *
City: *
Postal Code : *

CREDIT CARD INFORMATION
Credit Card Type : *
Credit Card # : *
Expiry Date : *

PAYMENT AMOUNT

Total Payment :
Payment Amount: 

* This information will be verified by the administration before your Credit Card is processed
arrow  2010 Fall Season Registration 
arrow  Fall 2010 - Team Registration 
arrow  Fall 2010 - Group Registration  
arrow  Fall 2010 - Individual Registration 
arrow  September 12th $3000 Grand Prize Tournament 
arrow  Team Registration 
arrow  Online Credit Card Payment 
arrow  2010 Fall - $200 Team Deposit Form 
arrow  2010 Fall Team: Online Payment 
arrow  2010 Fall Individual: Online Payment 
arrow  September 12th Tournament Team - Registration: Online Payment 


Located at 1875 Leslie Street
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