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- USCAA Group Membership Payment -

$10 - per person online, $10 per person mail-in
* - indicates a required field.

Your First Name* Last Name*
Payment for Team* if other team
Receipt Email
I would like to pay membership fees for:
The first team members who register
- OR -
These specific team members (one person per line):
(provide first and last name as it appears on each person's membership form)