Payment Make Payment For:Select one...Other PaymentBalance for Basketball TeamHow many players are you paying for?Select one...12345Player 01 - First Name *Player 01 - Last Name *Payment Options (1 Player) *Select one...Pay in Full ($400)Pay in 4 Installments ($110 x 4)Player 02 - First Name *Player 02 - Last Name *Payment Options (2 players) *Select one...Pay in Full ($780)Pay in 4 Installments ($205 x 4)Player 03 - First Name *Player 03 - Last Name *Payment Options (3 players) *Select one...Pay in Full ($1,140)Pay in 4 Installments ($295 x 4)Player 04 - First Name *Player 04 - Last Name *Payment Options (4 players) *Select one...Pay in Full ($1500)Pay in 4 Installments ($385 x 4)Player 05 - First Name *Player 05 - Last Name *Payment Options (5 players) *Select one...Pay in Full ($1860)Pay in 4 Installments ($475 x 4)Payment Amount *USDPayment Details *Please describe what you are making a payment for.Billing DetailsPayment Total$Confirm Payment Option *One TimeConfirm Payment Option *Four PaymentsBilling - First Name *Billing - Last NameBilling Email Address *Billing - Street Address *Billing - Apartment, suite, etcBilling - City *Billing - State *Billing - ZIP *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePayment MethodCredit / Debit CardACH / eCheckCredit / Debit CardOne Time PaymentCredit / Debit Card *Credit / Debit CardFour PaymentsCredit / Debit Card Number *Expiration Month *Expiration Year *CVV Code *ACHAccount Type *Select one...CheckingSavingsRouting Number *Bank Account Number * 4 installment plans for our teams will draft on either the 10th or 25th of each month. * There will be a processing fee of up to 3.5% added to each monthly payment. The date will be determined by when the form is submitted. Drafts will occur on the next date of the above options. By submitting this form you certify that you have reviewed the information above and authorize Fire Sports & Recreation to take payment(s) as described. Submit PaymentPlease do not fill in this field.