Name Phone # (if available) Total 1 X = - $ 2 X = - $ 3 X =

Member#
Office Use
Name
Phone #
available)
(if
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Charge per
time (office
use only)
# of
times
playing
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Total
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
Totals
Court Charges are as follows:
open - 1pm
1pm - close
AM PCT
PM PCT
$
$
11.43
13.40
Per Person
Per Person
=
=
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
45.72 per court
53.60 per court
Cost includes tax