| Name | |
| Street | |
| City, State, Zip | |
| Phone |
| Print and Mail this Form with Check or Money Order payable to: Summer Serenity at the Beach P.O. Box 6176 Miramar Beach, FL 32550 |
ID | SSATB 2012 |
| Date | ||
| Due | $30.00 |
| Item | Description | Price | Quantity | Amount |
|---|---|---|---|---|
Conference Per Person
|
Summer Serenity at the Beach 2011
(Aug. 30th - Sep. 02nd, 2012) |
$30.00 | ||
Conference Per Couple
|
Summer Serenity at the Beach 2011
(Aug. 30th - Aug. 02nd, 2012) |
$0.00 | ||
Golf Per Person
|
Golf Scramble (Aug. 31st 2012) | $0.00 | ||
Tennis Per Person
|
Tennis Tournament (Sep. 1st 2012) | $0.00 | ||
T-Shirts
|
T-Shirts | $0.00 | ||
Hats |
Hats | $0.00 | ||
Visors |
Visors | $0.00 | ||
| Subtotal | $30.00 |
|||
| Total | $30.00 |
|||
| Amount Paid | ||||
| Balance Due | $30.00 |
|||