NPL – Northeast Pre-Academy – 2016-17 League Fees (U-11 – U-12)

Amount to Send to US Club Soccer*
Below, please enter the quantity of teams you want to submit payment to US Club Soccer.

Price: $400.00 Quantity:
Total
$0.00
Notes:
Please enter information related to the fees that you are sending US Club Soccer. What is it for? How many?
Contact Information
Please enter information for the person sending the fees.
Name*
First Last
Club/Organization*
Team*
Gender*
Age*
Position*
Email*
Phone*
Payment Information
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name