If we have charged your card before, you do not have to fill out this page again; rather, you can simply email Jen at Office@portlandbasketball.com with what you are paying for and how much you want us to charge on your card.
NOTE: for Pick-to-Play players, you do not need to pay more than one time- nor do you email us- as we will hit your card each time you play/train (that night or the next morning).

Payment Page


Team name

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Cell Phone

ex. (123) 456-7890

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Card Holder Name

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Card Holder Email address.


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Card Billing address

Address must match what bank has on file

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Zip Code

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Card Number

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Expiration Date

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3 digit code on back of card

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  Amount to Charge Enter Amount (No symbols)
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