C.A.D.A. FEE PAYMENT VOUCHER

Current Season:              Fall 2009              Winter 2010
Team Name:   Captain:  
                   
PART A.  Membership Fees:
1.         -   Total number of team members. Names - specify board member(s)/Hall/free:
2.         -   Number of Board Members on team (names).  
3.         -   Number of Hall of Honor members (names).  
4.         -   Number of free membership cards (attach card).  
5.         -   If winter season, number of paid members returning from fall season.
Subtract lines 2, 3, 4 and 5 from line 1
Enter the result here:        -    multiplied by $20 =   $                   -    = Membership fees due.
PART B.  Team Fees:
 ($10/week for each week of regular play, not including playoffs.)
 $         -    Division A team fee
 $         -    Division B team fee
 $         -    Division C team fee
PART C.  Sponsor Fees:
(please fill in only one)
 $         -    Fall Season ………………………….... $30
 $         -    Winter Season ……………………...... $30
 $         -    Both fall and winter season ………..... $55
   Paid for both fall and winter season previously (check if applicable).
PART D.  Total fees due and amount paid:
Add membership fees, team fees and sponsor fees from above   $                  -   = Total Due.
Enter amount paid with this voucher  $             -  
Previous Payments  $             -  
Subtract all payments from total due.  This is your outstanding balance:  $                  -