Fiesta Soccer Tournament Registration Your Information Team Name: Manager's Name: Address: City: State: Zip: Home Phone: Work Phone: Cell: Email Address: Division (check one): Aug 2 & 3 Open Over 40 Aug 9 & 10 Over 30 Over 50 Payment Information Enter the total amount you wish to pay at this time. If you are paying the deposit only at this time, you may return to this page later to pay the remainder. Deposit ($250) Full Amount ($450) Second Payment ($200) Pay by Credit Card Credit Card Number: Expiration Date: January February March April May June July August September October November December 2006 2007 2008 2009 2010 2011 2012 Deadlines: JULY 11 Teams must be paid in Full Tournament is Open until Filled
Second Payment ($200)
Deadlines: JULY 11 Teams must be paid in Full
Tournament is Open until Filled