51ST Annual TSU RELAYS APPLICATION
RELAYS APPLICATION March 17-18, 2017 Please Print or Type
Contact Name School/Club Division Address City Work Phone
State
Zip
Home Phone
Fax Phone
E-mail address Cell Phone Entry Fees Middle School Boys/Girls $40 Each Team High School Boys/Girls $100 Each Team College/University Men/Women $250 Each Team Open/Unattached athletes, $35 per athlete or $180.00 per team (six or more athletes), whichever is least amount. All checks or money orders must be made payable to: TSU Relays THIS FORM OR A COPY OF IT MUST ACCOMPANY ALL PAYMENTS. MAIL TO: Texas Southern Athletics, 3100 Cleburne Street, Houston, Texas 77004, Attn: Stefann Robinson Check Payment Method:
66th Annual TSU Relays Entry Fee
Check
Check Number: __________________
Visa
MasterCard
Money Order
Cash
Check Amount: _______________________
Card Number: __________________________________________________________ Expiration Date:______________________ CVV _____________________________ Signature:______________________________________________________________
Phone: (713) 313-4355
Fax: (713) 313-1045
Deadline: Postmark before Tuesday, March 7, 2017
Contact Name School/Club Division Address City Work Phone
State
Zip
Home Phone
Fax Phone
E-mail address Cell Phone Entry Fees Middle School Boys/Girls $40 Each Team High School Boys/Girls $100 Each Team College/University Men/Women $250 Each Team Open/Unattached athletes, $35 per athlete or $180.00 per team (six or more athletes), whichever is least amount. All checks or money orders must be made payable to: TSU Relays THIS FORM OR A COPY OF IT MUST ACCOMPANY ALL PAYMENTS. MAIL TO: Texas Southern Athletics, 3100 Cleburne Street, Houston, Texas 77004, Attn: Stefann Robinson Check Payment Method:
66th Annual TSU Relays Entry Fee
Check
Check Number: __________________
Visa
MasterCard
Money Order
Cash
Check Amount: _______________________
Card Number: __________________________________________________________ Expiration Date:______________________ CVV _____________________________ Signature:______________________________________________________________
Phone: (713) 313-4355
Fax: (713) 313-1045
Deadline: Postmark before Tuesday, March 7, 2017
