OHIOBASKETBALL.COM PAYMENTS

1

What tournament or event are you making a payment?* This field is required.

2

Name of Player or Team Name* This field is required.Please Enter Team Name in Second Field

First Name

Last Name or Team Name

3

Name of Customer Making Payment* This field is required.

First Name

Last Name

4

Email* This field is required.This email address will get the receipt.

example@example.com

5

Phone Number* This field is required.

Area Code

Phone Number

6

Select Your Teams Gender

Male

Female

Multiple Teams

8

Enter Description of Payment* This field is required.PLEASE INCLUDE TOURNAMENT NAME - TEAM NAME - NUMBER OF TEAMS PAYING

10

Enter Amount of Payment* This field is required.There will be a 2.5% credit card processing fee added to your payment.

11

Balanced Owed

12

My Products

Description

USD

+ OR enter a custom value

Credit Card Details

First Name

Last Name

13

Please Initial as a confirmation* This field is required.

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