Annual Plan Registration

Name:

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn’t Match

Password Strength Password must be “Medium” or stronger

Select Payment Method

Credit / Debit Card Payment Bypass

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Pay Manopause

$50 / Year

Have a coupon?

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	50 Yard Line Club – Annual – Initial Payment $50 / Year	$50.00
	Total	$50.00

50 Yard Line Club – Annual – Initial Payment

$50 / Year

$50.00

Total

$50.00