2. MIKASA COED SIXES & DOUBLES EVENT - MAY 18TH & 19TH
DEADLINE FOR ENTRY IS THURSDAY, MAY 16TH!!
  * Required Fields
CAPTAIN'S NAME: *
YOUR NAME(if not Capt):
TEAM NAME: *
ADDRESS: *
CITY: *
STATE: *
ZIPCODE: *
WORK PHONE:
HOME PHONE:
EMAIL: *
   
SELECT A DIVISION:
DIVISION NAME: Coed Sixes
DIVISION CODE: COED
DAY: Saturday, May 18th
   
OPTIONS: Coed Doubles ($60.00)
Coed Sixes ($90.00)
TOTAL: $90.00
   
PAYMENT TYPE: Credit Card 
PAYMENT INFO:
Name On Card:
Credit Card Number:
Credit Card Type:
Expiration Date:
CVV Code:


Captcha: Select 2nd, 3rd, 5th, Checkbox.
Thank you for your tournament entry and payment. We will be processing your credit card in the next several days. Your credit card receipt will read Baxter Jack's. If you have any questions, feel free to contact us at 502-582-3530.