Team Package Registration Form | Change for Children

Team Package Registration

Step 1 of 5 - Player 1

Team Name
Player 1 Name
First Last
Player 1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player 1 Phone
Player 1 Email

Player 2 Name
First Last
Player 2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player 2 Phone
Player 2 Email

Player 3 Name
First Last
Player 3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player 3 Phone
Player 3 Email

Player 4 Name
First Last
Player 4 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player 4 Phone
Player 4 Email

Payment*
The check should be made out to “Greater New Orleans Foundation,” with “Retif” indicated in the memo line.
- Pay by Check
- Pay Online by Credit Card
Team Package
Price:
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name