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Player Registration


Please fill out the form below to register with SoccerInUSA.com
Once you click "Register" below, you will be sent to our payment page.
The prices for our memberships are as following:
 3 Months Subscription - $ 29.99
 6 Months Subscription - $ 49.99
 Annual Subscription - $ 89.99

Player Registration
First Name  
Middle Name
Last Name  
Address
City
State Choose 'Other' if outside the US!  
Zip/Postal Code
Province    For Internationals Only!
Country
Birthdate (Month)     (Day)     (Year - 4 digit)    
Phone #
------- Work ------- - Ext - ------ Home ------ ------- Cell ------

Gender
Email Will be used as your login name!      
Password Must be between 6 and 16 characters!    
Confirm Password    
How did you hear about us?
 
If other, please specify:
 
 

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