Southeast Franchise Brawl Prepay
$75 DEPOSIT or $450 PAY IN FULL PER EVENT
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Name
*
First Name
Last Name
Email
*
example@example.com
What is the name of your UBA Franchise?
*
Who is the captain of this team?
*
Member who is responsible for all correspondences related to this entry
Do you understand that once this entry is submitted, you must submit your full team using the Franchise Brawl event lineup form located on the UBA website www.ubatoday.info?
*
YES
Prepay Information
*
prev
next
( X )
Southeast Franchise Brawl $75 Deposit
$75.00
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: