Team Name:	Make A Difference

Team Fee Paid:	Yes
					Qualify for
LAST NAME	FIRST NAME		Method of Individual Registration	Minor Under 18yrs	Wrist band	Event T-shirt ($100)	Shirt Size	Free Lunch ($100)	Free Dinner ($100)							CHECKS/CASH	ON-LINE	GRAND TOTAL

Spahr	Candy	Captain	Online		Yes	Yes	M	Yes	Yes							$ -	$ 100.00	$ 100.00
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -
																$ -		$ -

GENERAL DONATIONS											$ 437.25					$ 437.25		$ 437.25
Registration Overpay												$ 10.00				$ 10.00		$ 10.00
Corporate Sponsor																$ -		$ -
Day Of - Team Raffles																$ -		$ -
Day Of -Booth Sales																$ -		$ -

					1	1		1	1		$ 437.25	$ 10.00	$ -	$ -
					Total # of bands	Total # of shirts		Total # of lunch	Total # of dinner		11/19/2009	Nov Credit
Count of team members	1										acs office	30-Nov-09				$ 447.25	$ 100.00	$ 547.25
											Entry # 1	Entry # 2	Entry # 3	Entry # 4		(Checks/Cash)	(On-Line Only)	Total to Date

																Make A Difference