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Tickets

Ticket	Price	Qty	Payment Amount
Registration Fee - individual	$20^.00 ( +2.00 Fee )		$0^.00

Registration Fee - Team 2 persons	$40^.00 ( +3.60 Fee )		$0^.00

Registration Fee - Team 3 persons	$60^.00 ( +5.20 Fee )		$0^.00

Registration Fee - Team 4 persons	$80^.00 ( +6.80 Fee )		$0^.00

Registration Fee - Team 5 persons	$100^.00 ( +8.40 Fee )		$0^.00

Registration Fee - Team 6 persons	$120^.00 ( +10.00 Fee )		$0^.00

		Total:$0^.00

Billing

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Last Name

E-mail

Phone

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City

State

Zip/Postal Code

Payment

Card Number

Cardholder name

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