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Atlantic 10 - Conference - Officiating Developmental Camp Application

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Atlantic 10 Conference
Developmental Camp
April 18 - 20, 2008
Virginia Commonwealth University
Siegel Center

Full Legal
Name:
  FIBA/
BA USA No:
Address:
City: State:    Zip: 
Home Phone: Cell Phone:
Email:
 
I am applying for the following Session: April 18 - 20 ($200)
I attended the July, 2007 Camp @ PSU
and I am applying for the Scholarship Rate:

April 18 - 20 ($100)

Amount Enclosed:
 
Comments:
 
A ROOM BLOCK HAS BEEN ARRANGED - CALL MARIE KOCH FOR INFORMATION
 
  THERE ARE NO REFUNDS AFTER FEBRUARY 29, 2008

Due to the limited number of camp slots available this season, we will strictly adhere to a first-come-first-serve basis regardless of conference affiliation or pool status. This will be determined by the date the application is received. If multiple applications are received as the camp closes, the postmark date and submission time and date will determine which official is accepted
 
To register you must both submit the application form on line and mail hard copy with payment.
 

APPLICATION ON LINE

Make Checks Payable to:   Marie E. Koch

MAIL CHECK TO:
Marie Koch
531 Washington Street
Westfield, NJ 07090