2023-2024 OTHER PAYMENTS
Person Paying
*
First Name
Last Name
Club Name
*
Email
*
example@example.com
Payment is for:
*
Host Meet Fees Owed
MESI Meet Entry Fees Owed
Zone Participation
Fines
Clinic
Banquet
Other
Amount Owed for Meet Fees
*
Amount Owed for Meet Entry Fees
*
Amount Owed for Zone Participation
*
Amount Owed
*
Amount Owed for Clinic
*
Amount Owed for Other
*
Notes:
Total Paying
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USD
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