Arizona Fall Classic
Payment Form
610 E. Hamilton Ave. Campbell, CA 95008
OFFICE: (408) 866-8050 FAX: (408) 866-8088
OFFICE: (408) 866-8050 FAX: (408) 866-8088Player Name:
Payment Information (payment due by September 15th)
Amount:
Credit Card Number:
Exp. Date:
Name On Card:
ZIP:
Billing Address:
CVV Code (back of card):
I would like to share a room with other players: Yes or No
Senior or Junior Fall Classic Team?
Phone Number:
Email:
