Pay for your Hoops Madness Entry/Entries here

Number of Entries you are paying for *

$5.00 per entry

(You will be given the option to pay by check or by PayPal after completing this form and clicking on the "Continue" button below.)

Enter your entry information here so that we can properly credit your payment.

First Name *

Last Name *

Your email and/or phone (so we can contact you in case of questions)

email:

phone/text:

Please insert the names of any entries that you are paying for below so that we can match your payments with your entries.

Important! Please use the actual unique entry name(s) that you used in the on-line entry form. This is the only way that we can properly credit your entry.

Entry Name *

Entry Name

If you have more than six entries (in which case you probably have a psychological problem), please create a separate entry.