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Credit Card Authorization
Team Name:
Individual Name:
Credit Card Number:
Expiration Date:
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.
Amount Applying to card:
Address:
City:
State, Zip:
Phone #1:
Phone #2:
Email:
Season Paying for:
Authorization Signature:
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.

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

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