Team Payment Sheet

WINTER  INDOOR 2009

TEAM  PAYMENT  SHEET

 

 

Team Fee                                $ _______

OSA Fees                               $ 14.00 Per player (waived for Winter session

                                                                            unless are a new player on this team)

Registration Fees                     $ 1.00 Per player

                                                           

 

Team Name : _________________________

Tier :  _______

Number of Players: ____________________

 

Player Name                                                                       New

 1  __________________________________________  ____    

 2  __________________________________________  ____ 
 3  __________________________________________  ____

 4  __________________________________________  ____

 5  __________________________________________  ____

 6  __________________________________________  ____

 7  __________________________________________  ____

 8  __________________________________________  ____

 9  __________________________________________  ____

10 __________________________________________  ____
11 __________________________________________  ____
12 __________________________________________  ____
13 __________________________________________  ____
14 __________________________________________  ____
15 __________________________________________  ____
16 __________________________________________  ____

 

 

SPONSORS / DISCOUNTS

 1. _________________________________         $ ________

 2. _________________________________         $ ________

 3. _________________________________         $ ________

 

        DISCOUNT   TOTAL                                   $ ________

 *Discount must be submitted with rest of payment and made payable to KWSC*

 

Team Fee                                                                $ ________

Registration Fee ( $ 1 x __ )                                     $ ________

OSA Fees  ($14 X __)                                            $ ________

                                                           

                        TEAM  COST                               $ ________

 

 

TEAM COST – DISCOUNT TOTAL                  $ _______
                                                                            
  - $ ________

                                               

                       TOTAL DUE                              $ _______

                                                                               

                       TOTAL  PAID                                   $ ________

 

                       DATE RECEIVED                   _________________________

 

                       BALANCE  DUE                            $ ________

 

 

 

Team Rep. Signature        __________________________

 

Treasurer Signature         __________________________

 

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