Team Name:

Praying For A Cure

Team Fee Paid:

Yes

Qualify for

LAST NAME

FIRST NAME

Method of Individual Registration

Minor Under 18yrs

Wrist band

Event T-shirt ($100)

Date Shirt was Picked Up

Shirt Size

Free Lunch ($100)

Free Dinner ($100)

CHECKS/CASH

ON-LINE

GRAND TOTAL

Colvin

John

Captain

Online

Yes

Yes

5/13/2010

2XL

Yes

Yes

$                     -

$            100.00

$            100.00

Fels

Fred

Member

Online

Yes

No

L

No

No

$                     -

$              45.00

$              45.00

Fels

Ginny

Member

Online

Yes

Yes

5/13/2010

L

Yes

Yes

$                     -

$            345.00

$            345.00

McClean

Don

Member

Not on File

No

No

$      50.00

$              50.00

$              50.00

Robinson

Brenda

Member

Online

Yes

Yes

5/13/2010

XL

Yes

Yes

$      22.00

$    750.00

$      39.40

$      35.00

$    150.00

$      10.00

$         1,006.40

$            100.00

$         1,106.40

Robinson

Earl

Member

Online

Yes

Yes

5/13/2010

XL

Yes

Yes

$    100.00

$    100.00

$            200.00

$                     -

$            200.00

Tripp

Connie

Member

Not on File

No

Yes

5/22/2010

??

Yes

Yes

$    100.00

$            100.00

$            100.00

Tuttle

Mary

Member

Online

Yes

No

P/U @ Wrap

M

No

No

$      30.00

$      85.61

$            115.61

$                     -

$            115.61

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

$                     -

GENERAL DONATIONS

$    212.00

$            212.00

$              50.00

$            262.00

Registration Overpay

$      10.00

$              10.00

$              10.00

Corporate Sponsor

$                     -

$                     -

Day Of - Team Raffles

$    166.81

$            166.81

$            166.81

Day Of -Booth Sales

$                     -

$                     -

6

5

5

5

$      22.00

$    750.00

$      10.00

$      39.40

$      35.00

$    100.00

$    150.00

$      40.00

$    200.00

$    347.61

$    166.81

$             -

Total # of bands

Total # of shirts

Total # of lunch

Total # of dinner

ACS Office

acs office

Nov Credit

acs office

acs office

acs office

Cpt meet

campsite

acs office

Relay

relay

Count of team members

8

9/24/2009

11/19/2009

11/30/2009

12/1/2009

12/31/2009

3/31/2010

4/20/2010

5/13/2010

5/21/2010

5/22/2010

$         1,860.82

$            640.00

$         2,500.82

Entry # 1

Entry # 2

Entry # 3

Entry # 4

Entry #5

Entry #6

Entry # 7

Entry #8

Entry #9

Entry #10

Entry #11

Entry #12

(Checks/Cash)

(On-Line Only)

Total to Date

Praying For A Cure