Club Registration Payment Portal – Renegades Basketball Inc.

Club Registration Credit Card Payment

Club Registrations – 5% Processing fee added to all at checkout

Club Memberships *

Billing Info

First Name *

First

Last Name *

Last

Email *

Players First and Last Name *

Address *

Address

Street Address

Street Address

Building/Suite/Apartment #

Building/Suite/Apartment #

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Charges

Credit Card *

Credit Card

Credit Card

Mo

Mo

Yr

Yr

CVC

CVC

Bank Account Details

Routing Number

Account Number

Bank Name

reCAPTCHA

If you are human, leave this field blank.