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Meet: 5rd Keo Nakama Invit. |
Date: July 6-8 2001 |
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Club:_______________________ |
Club Code:||__||__||__||__|| |
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Coach's Name:________________ |
Coach's Phone:________________ |
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Total Number of Swimmers: ______ |
In "Club Code" please put your team abreviation
or call sign. Count up total Individual Entries and multiply this by $ 1.75
(U.S. Dollars). Total relay entries is multiplied by $ 6.25 (U.S. Dollars) |
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# of Ind. Entries ___ X $ 1.75 = ____ |
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# of Relay Entries ___ X $ 6.25= ___ |
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| Total Money Submitted: $__________ | |