Golden Goal Follow Up Payment Form

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Golden Goal Youth Soccer Tournament Park

Follow Up Payment Form for all Golden Goal Tournaments

Tournament

Tournament Date

Team Name

Head Coach

Organization/Club

Address

City

State

Zip

Contact's Phone #

Alternate Phone #

E-Mail

Amount of Payment
Check	Checks payable to Golden Goal Mail checks to: Golden Goal 191 King Street Chappaqua, NY 10514	Credit Card

Card Number

Expiration Date

CCID Verification Code (found on back of credit card)

Name on Card

Payments sent to:
Golden Goal
191 King Street
Chappaqua, NY 10514

Corporate Headquarters:
Golden Goal
495 Goodman Rd
Ft Ann, NY 12827

For further assistance, please call
888-860-6311
Fax (Sep - Jun) 215.504.7028
Fax (Jun - Aug) 518.639.4067

Thank you for submitting the next payment to ensure your spot in the Golden Goal Tournament!