Name* First Last Team Name* Apply Payment to:*Payment (Please select from the list below)League Fees deposit ($100)Extra Player Registration ($20/player)Media Fine ($25)Duplicate ID card ($5/ Card)Free Agent Player ($100)Player Transfer Fee ($10/player)Performance Bond ($100)Payment Amount* Total $ 0.00 CAD Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name CAPTCHA
