PLRSA Player Registration Payment - Only use if your player is registered!- If not return to registration page

ADDRESS INFO
Number of Players in Family *	1 Player Registration ($80.00 for period up to 05/01/2012) Register One Player - a $5.00 convenience charge is charged on CC payments- $1 Booster included! 2 Players Registration ($135.00 for period up to 05/01/2012) Register 2 family members - a $5.00 convenience charge is charged on CC payments 3 or more Players ($175.00 for period up to 05/01/2012) Register 3 or more players (family) - a $5.00 convenience charge is charged on CC payments
Payment System *	Credit Card Payment Player is Automatically Registered
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Enter Verification Text * Please type text from image
Country*
State*
City*
Street*
ZIP*