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Credit Card Authorization Form

I, ________________________ (print name), authorize College Bound Sports to charge $____________ (amount) to my credit card listed below for my child’s participation in the Coast to Coast Baseball/Softball camp.

  I have read and understand your cancellation and refund policy.   I also understand my billing statement charge will appear from “College Bound Sports” for the amount above.

Player Name_______________________________________________

Billing Address_______________________________________________

City_____________________________State_______Zip_____________

Cardholder’s Name__________________________________________

Account # (Visa/MasterCard/Discover)___________________________

Exp. Date_______ Cardholder Signature__________________________

Today’s Date_____________________________________________

Please complete and FAX this form to:  740-373-7465

Coast to Coast Amateur Athletics * PO Box 389 * Marietta * OH  45750