Captain's Name *

First Name

Last Name

Captain's Phone *

Country

(###)

###

####

Partner's Name (Doubles Only)

First Name

Last Name

Partner's Phone (Doubles Only)

Country

(###)

###

####

Payment Options *

How do you want to pay your registration fee?

I'll mail you a check (Send to PPC, PO Box 82866, Portland, OR 97282)

I'll send a Zelle payment (Send to pdxpetanque@gmail.com).