| Rainbow Fields Credit Card | |
| Tournament or League Payment | |
| Fax to: 209-869-0400 | |
| Do not email Credit Card Information | |
| Name on Card: | |
| Team: | |
| Age: A or B: |
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| Event: | |
| Date of Event: | |
| Billing Address: | |
| City: | |
| Zip: | |
| Phone: | |
| Amount: | |
| Credit Card Number: | |
| Expiration Date: | |