Individual Registration

Please enter information in the form below to process registration for event Summer Slugfest Week 2.

First Name *

Last Name

Email *

Player Name *

Player's Age *

Amount

Payment processing fee

Gross amount

Payment Method *

Paypal Offline Payment

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

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