Credit Card Information

Please read carefully - most problems can be avoided by reading the instructions

Option 1 Refund Request

I need to submit credit card information to obtain a refund (this applies only if you are asking for a refund more than 120 days after registering). Enter the name of the player here and click submit.

Player Name:	Player First Name	Player Last Name

Option 2 Credit Card Payment

I need to submit credit card information to make a payment to AYSO Region 76 (for example, if requested by the registrar because I was not previously successful in submitting payment).

Invoice number given to you by the registrar:
Player Name:	Player First Name	Player Last Name
Amount you were told to pay: $

Last updated July 29, 2008 at 05:49 AM

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Credit Card Submissions

Option 1 Refund Request

Option 2 Credit Card Payment