Five Star Team Submition

Season: Summer 2008

Team Name: Division:
Captain Name: Captain Email:
Alt Captain Name: Alt Captain Email:
Alt Captain Name: Alt Captain Email:
Home Colour: Away Colour:
Payment Enclosed:

This Season's Team Fee is: $2,800.00. The full payment discount is: $200.00.

**Please note: The final division you participate in will be based on the roster you submit and may not reflect your initial selection!

Please contact Bob Nelson with any questions.