USSSA - United States Specialty Sports Association

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Payment For:

* The amount includes processing fees collected by USSSA.

Card Number

Expiration Date

Security Code (CVV)

Zipcode

First Name: {{validation.firstName}}

Middle Initial:

Last Name: {{validation.lastName}}

Billing Address: {{validation.address}}

Billing City: {{validation.city}}

Billing State: {{validation.state}}

Zip Code: {{validation.zipCode}}

Phone Number:

Email Address:

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5800 Stadium Pkwy
Melbourne, FL 32940