Ames Hurricanes Membership Request - Ames Hurricanes Soccer Club

Please enter your information in the boxes below and indicate how you wish to pay your membership.

* denotes a required field.

First Name: *
Last Name: *
Cell Phone: * Enter your cell phone number as a complete 10 digit number with no spaces.
E-mail: * If you wish to receive emails on more than one email address, please separate addresses with a comma and then a space.
Game Day Jersey: If you own a red Ames Hurricanes Game Day Jersey - enter the number here.
White Game Day Jersey: If you own a white game day jersey please enter the number here.
Summer Jersey: If you own an Ames Summer League WHITE JERSEY ONLY - please enter the number here
White Practice Jersey: I own an Ames Hurricanes white practice jersey	Yes I have an Ames Hurricanes white practice jersey No I do not have an Ames Hurricanes white practice jersey
Red Practice Jersey: I own an Ames Hurricanes red practice jersey.	Yes I have an Ames Hurricanes red practice jersey No I do not have an Ames Hurricanes red practice jersey
Payment: * Please select how you will pay.