Company Enrollment Form 2006

2008 Pueblo YMCA Corporate Cup
Company Enrollment Form
Due on or before: Friday, August 8, 2008

After August 8, 2008 and on or Before September 1, 2008 late regs. applies
TYPE in the boxes below and THEN click on your PRINT button.

based on # of employees as indicated in drop-down list

Company Name:
CEO:
Address:
City & Zip	Zip
Phones:	Central Office FAX
Personnel Officer:	Name Phone Email
Employees:	Total # of employees in Pueblo County: Please be accurate!
Participants:	Estimated # of participants:

KEY TEAM PERSONNEL
Title	Name	Phone	E-mail
Team Director
Volleyball Captain
Softball Captain
Input Operator

Deliver completed enrollment form with at least base entry fee to: Click: FEE SCHEDULE Corporate Cup Director, YMCA of Pueblo, 700 N Albany, Pueblo, CO 81003 543-5151

YMCA USE ONLY
		DATE	AMOUNT	RECEIPT #
Base Entry Fee	$25/$50/$75 $3.00 per person
Additional Fee	$
Additional Fee	$
Golf $200/Team	$
Bowling $35/Team	$
Softball $135/Team	$
Total Due/Paid	$
Date waivers received: ___/___/___ Alphabetical ? YES NO Date Data Input Completed ___/___/___
Participant Verification Letter received? YES NO Date ___/___/___ Team Admin Points: ______