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

OHIOBASKETBALL.COM PAYMENTS* This field is required.ENTER THE AMOUNT OF YOUR PAYMENTS

Description

USD

+ OR enter a custom value

Credit Card Details

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

11

Please Initial as a confirmation* This field is required.

Clear