Futsal Winter Soccer League - Registration Form


Cost: $550 for a team or $125 per player
Choose team or indvidual?
      individual player    team


Information about the player.
Grade
Age
Team Name or Player
Contact Person
Address
City
St
Zip

How do we Communicate with you?
Home Phone:
Email:
CellPhone:

Pay By:    Check    Credit Card    *Payments

Credit Card Information
*Fill this section out below if you clicked to pay by credit card, otherwise just click I accept.
Credit Card Type
Credit Card Number
Expires
Card Security Code
Name
Street
City
State
Zip
 




I understand that I have signed up for Futsol Soccer League at Paye's Place. I have committed to the progam. No Refund Policy.

Checks are payable to Paye's Place

Thank You,

 
595 Industrial Rd. San Carlos, CA 94070 - (650)654-4444 Fax (650)508-8710