2009 'Melee in Mesa' Team Signup Form
(January 22-25, 2009)
FOR USE BY TEAM COORDINATORS ONLY

TOURNAMENT PARTICIPANT @ $300 EACH (Dinner included) EXTRA ADULT DINNERS @ $45 EACH (Ages 13 and older) EXTRA CHILD DINNERS  (Ages 5 - 12 to be priced later) AMOUNT
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
TOTAL AMOUNT ENCLOSED
(Make one check payable to Rob Weber)
XXX XXX  

Team coordinators  - complete this form and send it along with one check to:

Rob Weber
4954 Alan Avenue
San Jose, CA  95124