Fees before August 27, 1999 | Fees after August 27, 1999 |
$24.00 without Lunch ___ | $28.00 without Lunch ___ |
$26.00 with Lunch ___ | $30.00 with Lunch* ___ |
NAME | _______________________________ |
PHONE NO. | _______________________________ |
ADDRESS | _______________________________ |
CITY | _______________________________ |
STATE | _______________________________ |
ZIP | _______________________________ |