Please fill out the below form to reserve your spot for the MILT Alumni team for the weekend of Saturday, October 10, 2009. The first 25 players that PAY will be guaranteed a roster spot. The total fee to participate is $100. We prefer to have: 6 attackmen, 11 mid-fielders, 6 defensemen & 2- Goalies.
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Name |
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Address |
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Phone# |
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Grad Year |
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Position |
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ITEM |
QTY |
PRICE EACH |
TOTAL $ |
SIZE |
# |
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Jersey |
1 |
$20/$30 |
$20 |
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Shorts |
1 |
$25/$35 |
$25 |
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T-Shirt |
1 |
$5/$15 |
$5 |
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Donation & Tournament Fee |
X 1 |
Per Person |
$50 |
Please list 2 alternate #s |
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TOTAL DUE |
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$ 100 |
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(Extra Shorts, Jerseys and T-shirts will be S-$35, J-$30 & T-$15 each)
Please write two separate checks. Each check should be for $50.
· Check One for $50 payable to: WVU LACROSSE
This is TAX DEDUCTIBLE.
Please indicate on the check the WVU lacrosse teams WVU Foundation ID# - 2V557 on the comments line.
· Check Two for $50 payable to: BILL WARNICK
Please send both checks and this completed form to:
Bill Warnick
44 John Street
South River, NJ 08882
DEADLINE – AUGUST 31, 2009