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Team Name *

Player #1

Player #1 Full Name *

Player #1 Email Address *

Player #1 Phone Number *

Player #1 Address *

Address Line 1

Address Line 2

City

State

Zip Code

T-Shirt Size For Player #1 *

Small
Medium
Large
X-Large

Player #2

Player #2 Full Name *

Player #2 Email Address *

Player #2 Phone Number *

Player #2 Address *

Address Line 1

Address Line 2

City

State

Zip Code

T-Shirt Size For Player #2 *

Small
Medium
Large
X-Large

Price For Team

Price: $ 60.00

Credit Card *

Card

Name on Card

Email