WWW.RECBASKETBALL.COM
Credit Card Authorization Form
Information:
Team Name:
Individual Name:
Address:
Zip Code:
Visa
MasterCard
Season Paying For:
Credit 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.
Amount Applying to the Card
+ 3%
Credit Card Fees
Due to increaing credit card processing fees there will be a 3% charge on all payments made by credit card startign Fall 2008/2009. Recbasketball.com accepts Visa and Mastercard ONLY...
Contact Numbers:
Home Phone #:
Cell Phone #:
Work Phone #:
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.
RecBasketball.Com/Universal Whistles LLC
1124 NE Halsey, #600
Portland, OR 97220
(503)249-1986
(503)288-6983 [fax]
[E-Mail] Wil@RecBasketball.com
NOTICE: Only click the "Submit Form" Button Once.
It can take up to two minutes to process the form.
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