March Madness Tournament Registration
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Please Provide the following information
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* Association * Team Name Home Jersey Color Away Jersey Color * Team Division of Play Midget Major AA Payment Method $100 deposit, remainder due in 10 days Total $600.00 * Payment Method Master Card Visa Mail-In Check Master Card / Visa # Expiration Date Payment Amount $ Contact Information * Name * Street * City / Town * State / Providence * Zip Code * Home Phone Work Phone * E-Mail Head Coach Manager Team Roster # Date of Birth Name