2014 15 REGISTRATION WORKSHEET

NAME:_________________________________ INCOMING UNIT: ___Pathfinders (age 5 by 10/31/14) ___Tenderhearts (age 6 by 10/31/14) ___Explorers (age 9 by 10/31/14) ___Pioneers (age 12 by 10/31/14) ___Patriots (age 14 by 10/31/14)

CASH/CHECK RATE

CREDIT CARD RATE (3% SURCHARGE)

Registration (3 or more – sister cap rate)

$26 or $60 (sister cap)

$26.78 or $61.80 (sister cap)

Fall 2014 dues

$25 (Pathfinder - $12.50)

$25.75 (Pathfinder - $12.88)

Spring 2015 dues (Due no later than 9/1/2014)

$25 (Pathfinder – $12.50)

$25.75 (Pathfinder - $12.88)

Parent Registration (At least 1 parent)

Before 5/1/2014: $16/person

Before 5/1/2014: $16.48

After 5/1/2014: $26/person

After 5/1/2014: $26.78

DESCRIPTION

TOTAL

Outstanding obligations from 2013-14 program year (add in 3% for cc transactions) TOTAL DUE AMOUNT REC’D BALANCE DUE CC #

EXPIRATION:

-

SECURITY CODE:

2 0 TREASURER’S USE ONLY: Ck#______________ CASH________________ DATE REC’D_______________ RECORDED INTO TROOPTRACK_______