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4
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1
NAGVA Order Number
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2
Captain's Name
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First Name
Last Name
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3
E-mail
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4
Team Name:
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5
NAGVA Team and Additional Fees
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Great Product Name
$20
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1
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
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Great Product Name
$20
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REGISTRATION SUMMARY
Total cost
USD
NAGVA Team Fee
Team Fee
$
500.00
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BB1
B1
C
BB1
BB1
B1
C
Confirm Division
NAGVA Additional Player Fee
$
65.00
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1
1
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5
Quantity
NAGVA R1 Referee Fee
$
40.00
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Windy City Open NAGVA
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