Payment for Event
Event:

BSSC

DROP IN SOCCER

Description: DROP IN SOCCER PRACTICE PICK UP
CHOOSE FROM LIST AT END OF FORM
Event Date: 5/15/2017
MUST REGISTER BEFORE 5PM DAY OF: 5/15/2017
Cost Per Player: $10.00
Contact Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
E-mail Address:
Payment Information
Credit Card Type:
Credit Card Number:
Credit Card Expiration: (11/11)
CID Code:
Order Information
Number of Players you are playing for ?:
Extras:
DATE THAT YOU WANT TO PLAY
    4/17/2017 Qty: 
    4/24/2017 Qty: 
    5/1/2017 Qty: 
    5/15/2017 Qty: 
    5/8/2017 Qty: 
    Total Qty: 
TIME YOU WANT LIKE TO PLAY
    10-11 PM Qty: 
    7-8 PM Qty: 
    8-9 PM Qty: 
    9-10 PM Qty: 
    Total Qty: 
Group Leader's Name:
  The BSSC will be happy to place your group together (seating or event team) but will need a "Group Leader" in order to do so.

If you are the "Group Leader", please enter your first and last name in the box above BEFORE the rest of the group (do not put in a team name).

If you are signing up with a group for an event, please select the name of your "Group Leader", from the drop-down menu in the "Current Groups" field above.

If you are NOT signing up with a group or are NOT the Group Leader, please leave the Current Group and Group Name boxes empty.

If you would like to leave a comment for the BSSC, please do so in the "Comments" box below.
Comments:


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ALL SALES ARE FINAL

The BSSC will consider refunds/exchanges, on a case to case basis, if circumstances mandate such action.

BSSC, Inc.
8480 M Baltimore National Pike, Suite 286
Ellicott City, MD 21043
(410) 461-5550

mikec@baltssc.com
  
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