Rome 2045 Signup and Payment Form:
 * Denotes a Required Field
*First Name: *Address:

*City:

*State:

*Zip/Postal Code:
*Last Name:
*E-mail Address:
*Phone Number:
*Credit Card Type:    
*Name as it appears on card: Team Information
*Credit Card Number: Team Name:
( i.e.:Rat Hunters)
*Expiration Date:  /  *Choose Side:
*CSC Code:    need help? *Air Type :

*Amount to charge:
$40 (times number of players)

Estimate number of hotel rooms needed (If Any)


Important! Please Read!
I have read this payment form carefully, I understand that by giving my credit card number and signing below that I acknowledge and agree to all the terms and conditions set forth on this form. I agree to allow Poco Loco Paintball Inc. to charge my credit card the full amount as stated above.

Cancelation policy. There are no cancelations or refunds.

Paint. Event paint only ($65 case).

Rental Equipment.  If rental equipment is needed, there will not be an extra charge.  You must have a major credit card to use as a security deposit until equipment is returned.

Airfills. Included with entry fee.

Deposits are nonrefundable, meaning if you deposit for 10 players and only 9 players show-up, you the organizer are resonsiable for the player/players that did not show.


I certify that I am 18 years of age or older, I agree to the terms
and conditons of this purchase and I have read this agreement form.
By submitting your reservation your card will be charged.
(Please do not submit multiple times)