Expansion Team Review Application

To be considered as an expansion team for the upcoming season please fill out the form below. Include all members of your organization. The $125 fee is non-refundable, but if your organization is approved your application fee will be applied to your remaining balance.

Main Owner Name(Required)

First Last

Email(Required)

# of Owner(s)(Required)

123456

Any owner a FIBA Agent ?(Required)

NoYes

FIBA Agent Name

First Last

Owner 2 Name

First Last

Owner 3 Name

First Last

Owner 4 Name

First Last

Owner 5 Name

First Last

Owner 6 Name

First Last

Debut Year(Required)

20232024202520262027

Phone(Required)

Your Story/Team Name

Payment

Review Fee/reserve team

Credit Card(Required)

Cardholder Name

Card Details

Total

Consent(Required)

I have read and agree to the Terms of Service(Required)

Consent(Required)

I have read and agree to the Terms for Teams(Required)

Consent(Required)

I have read and agree to the Team Owner Obligations(Required)

Signature

Phone

This field is for validation purposes and should be left unchanged.