GULF COAST UNITED FUTBOL CLUB PAYMENT\UNIFORM ORDER FORM
GCUFC, PO Box 391, Gulfport, MS 39502
Yearly Club Fees
Registration $200.00 .
Coaching fee $500.00
Full Uniform Package* $210.00 or adj total $
TOTAL $910.00 or adj total $
Circle correct sizes
Individual Uniform Pieces Sizes Cost (ea.) Quantity Total Cost
Blue Jersey YS YM YL YXL AS AM AL AXL $40.00
White Jersey YS YM YL YXL AS AM AL AXL $20.00
Shorts YS YM YL YXL AS AM AL AXL $16.50
Blue Socks YM YL Adlt $8.00
White Socks YM YL Adlt $8.00
Windjacket YS YM YL YXL AS AM AL AXL $46.00
Windpants YS YM YL YXL AS AM AL AXL $40.00
Backpack One size $15.00
* Full package includes blue and white jersey, 2 shorts, 2 socks (1 each color), windpants, windjacket and backpack
Team finances will be collected and handled by the team manager.
Team finances will be used to pay referees, coach's travel expenses and tournament fees.
For more information, see the Manager's Handbook online at www.gulfcoastunited.com.
Club Payment Options (circle one)
Option #1 Payment in full by cash, check or credit card** (**see credit card fee structure below)
Option #2 Payment Plan - 2 installments
$600.00 - due at registration
$ Balance plus 10% of TOTAL YEARLY CLUB FEES - due January 15, 2010
CASH AMOUNT $
CHECK AMOUNT $ Check Number #
CREDIT CARD AMT $
Credit Card Users only
A fee will be added for credit card usage based upon the amount charged.
Up to $400 fee $10; $400-$800 fee $20; $800-$1100 fee $25
Visa/Master Card/ Discover Credit Card Number 3 Digit Code Exp Date
I understand the Financial information listed above. I have chosen one of the payment options above and understand
that I am committed for the full year and there will be no refund of fees after 8-15-09. If payment option #2 is chosen
and the second payment is not received by the Treasurer by January 15, 2010, the player will not be allowed to practice
or play in any games or be transferred/released to another club or team until the payment has been received in full. All
player passes will be collected and held by the GCUFC Registrar on 1 December 2009 and returned after 15 January