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Club Payment Form
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(Month paying for using previous month's actuals)
Newcomer Game or Section (49'er or less)? No
Yes
Actuals from previous month
Week 1
Week 2
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Week 5
Tables:
Students under 26 given
half-price discount:
Fill-in Free Plays:
Free Play Certificates:
Other: $
for:
Late Fees:
Check if payment not provided to the Unit Treasurer by the 7th of the month. Comments:
