State College Boys Basketball Booster Club
State College Boys Basketball Booster Club

Items marked with an * are required.

Please note this is for Payment of your State College Boys Basketball Banquet Registrations

Charges will show up on your credit card as Blue Banana Designs, LLC dba Happy Values

* Amount To Be Charged
($25.00 per person, 12.00 for 12 and under - the player is complimentary)
$ 
 
Vendor ID
 
Invoice
 
Please list all the names (including player) that are included in this registration payment.
 
Contact Information
* First Name
* Last Name
* Email
* Address Line 1
Address Line 2
* City
* State
* Zip
* Phone
Fax
 
Credit Card Information
* Credit Card Number
xxxxxxxxxxxxxxxx
* Credit Card Expiration Date
 
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