WWW.RECBASKETBALL.COM
Adult Team Registration
Team Information:
Team Name:
League: Sunday
  Tuesday
  Thursday
  Other - ->
Skill Level: A skill level (most played college)
 B skill level (small college, very good HS players)
 C skill level (some high school players maybe not all)
 D skill level (most players did not play HS but are good players)
 E skill level (recreational players, coed teams)
Avg Age:
Co-ed Team?: Yes           No
    If Yes, how many women vs men?  
Location of Players:
(Where do players live?)
Needs/Wants of Team:
Team Contact Information:
1. Captain Personal Information:
Captain's Name:
Email Address:
Home Phone #:
Cell Phone #:
Work Phone #:
2. Co-Captain Personal Information:
Co-Captain's Name:
Email Address:
Home Phone #:
Cell Phone #:
Work Phone #:
3. Third Contact Personal Information:
3rd Contact's Name:
Email Address:
Additional Notes/Comments:
Document Agreement:
I Agree I have completed the the Waiver/Release Form.
Method of Payment:
In person at a gym - You can call and arrange to drop off the $$ at a gym, give the money to a head referee on our league nights 7 days in advance of the event you are paying for. Our league nights are Sunday, Tuesday, + Thursday. When you go to pay in person, ask who is the head official, and pay him. Please put your payment in an envelope with your team name on it. To see what gyms we are at, got to www.RecBasketball.com, click on schedules and pick a gym near you.

In person at the PO Box - You can deliver the $$ to the PO Box below. After delivering to the PO Box just call (503) 249-1986 and let me know it is there to pick up.

RecBasketball.com
Private Mailbox #600
11124 NE Halsey
Portland, Oregon 97220
By mail - You can mail the payments (we need to receive them 7 days before your event) to:
RecBasketball.com
Mailbox #600
11124 NE Halsey
Portland, Oregon 97220
With Credit Card - We take Visa or MasterCard only.

Credit Card Fees: Due to increasing credit card processing fees there will be a 3% charge on all payments made by credit card starting Fall of 2008/2009.

Either Call 503-249-1986 with the following 5 items:
  1. Credit Card Number
  2. Expiration Date
  3. CVV # (3 digits located on back of credit card)
  4. Address & Zip Code
  5. Amount applying to this card


OR

Fill out the Authorization form below and pay with registration information.
Credit Card Authorization
Season Paying for:
Discounts:
Amount Applying to the Card + 3%
If I am paying by credit card, I, authorize RecBasketball.com/Universal Whistles LLC to charge my credit card in the above amount to cover fees for basketball League(s) or Tournament. I realize that I am paying for the structure of a basketball league. I understand that satisfaction is not guaranteed. I am paying for a schedule and the normal workings of a league. If I am unhappy with the league, if I receive technical fouls, if I am ejected, or suspended, I realize that this is part of being in a league, and I understand that I have no right to refunds of any kind. For these reasons all charge backs will be invalid with my submission of this form.
Visa
MasterCard
  Credit Card #
Name as it appers on the Card
Expiration Date (09/09)
Verification Code:
You can find the 3 digit Verification Code on the back of your credit card somewhere near the Signature line. This 3 digit Verification Code number will follow the last four numbers of your 16 digit credit card number.

NOTICE: Only click the "Submit Form" Button Once.
It can take up to two minutes to process the form.

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