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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