2023-2024 Meet Financial Statement

2023-2024 Meet Financial Statement

Form must be submitted and surcharges paid within 14 days of the conclusion of the meet.
Name of Meet*
Facility*
Host Club*
Dates*
Type of Meet:*

Sanctioned/Approved (dual, tri) MeetsSanctioned/Approved Open and Invitational (4 teams or more) MeetsMESI Non-Championship Meet (training clinics))
Is the host club from the Maine LSC?*

yesno
INCOME
Income from Entry Fees & Participation Fees (attach Hy-tek report). *
Upload Hy-tek Fee Report Here

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Upload Hy-tek Fee Report Here for non-MESI Team Fees

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Cancelof
EXPENSES
Athlete Travel Surcharge (# of athletes X $1)*
Athlete Splash Fee for Dual & Tri Meets (# of athletes X $1)*
Maine LSC Sanctioned/Approved Open or Invitational Meet Individual & Relay Splash Fees (25% of the splash fees charged)*
Out of LSC Sanctioned/Approved Open or Invitational Meet Individual & Relay Splash Fees (30% of the splash fees charged)*
MESI Meet Facility Invoice Amount
Upload Facility Invoice

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Total Owed MESI for Sanctioned/Approved Dual or Tri- Meet*
Total Owed MESI for Sanctioned/Approved Open or Invitational Meet (subtract $100 deposit if all forms have been submitted as per the P & P)*
Total Owed Club for MESI Non-Championship Meet*
I will be paying my fees by:*

credit cardcheckno payment due
Submitted by:*
Date*

MonthDayYear
Date
Email*
example@example.com
Please submit this form and send a check to cover the surcharges (or pay via the Pay Now button on the website) to:

Leanne Pedro, Office Manager
31 Allison Avenue
Portland, Maine 04103

Note: Sanction deposits may be forfeited if financial report, payment and results are not submitted within 14 days of the meet.
Payment

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