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200910 Payment_Uniform Form

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200910 Payment_Uniform Form Powered By Docstoc
					             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        $

                                                             Uniform Order
                                              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
                                                                                                     UNIFORM TOTAL
              * Full package includes blue and white jersey, 2 shorts, 2 socks (1 each color), windpants, windjacket and backpack

                                                            Team Finances
                            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           $
                                           TOTAL           $

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

(circle one)
Visa/Master Card/ Discover                 Credit Card Number                                               3 Digit Code            Exp Date

                                                           Parent Agreement
 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
                                                            2010.


Signature                                                                                           Date
                      Player
             Parents Name
            Billing Address
                      Team

				
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