Paye's Place - Basketball & Volleyball Facility

Paye's Mother's Day Celebration - Shootout Fundraiser (Boys & Girls) Registration Form

May 8th, 2010

Paye's Place
Location: 595 Industrial Rd. San Carlos, CA

$175 per team (*2-game guarantee)

Boys & Girls : 4th thru Varsity

Any questions, please contact Payes Place office at 650-595-7797

Team Information

Team Name:

Gender (Boys/Girls):

Team Contact:

Team Level:

Address:

WebPage:

Phone:

Email:

CellPhone:

Special Request

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

If you would like to fax it instead, just print and fax to 650-508-8710,
otherwise just fill in the form and click submit.