Ultimate League Registration Form

Yes, I would like to OFFICIALLY REGISTER

 Name          
 Team Nickname 
	 Max 16 letters (including spaces)
 EMail Address  
	Make Sure This is CORRECT
 Street        
 City          
 State, Zip    
 Telephone #    
	  Area Code and Number
You can always call us @ 800-335-6730 during working hours, west coast time.

Please Mail a Check to:

Fanta Sports
P.O. Box 191388
San Diego, CA 92159
Enter Amount of Check ($69)

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