NVWF  TREASURER’S  FORM
 
 
 

CLUB NAME:______Kettle Run Wrestlng Club ____________________________________________________
 
 

Choose Request:  1) Deposit to NVWF                          2) Check from NVWF
 
 
 
Amount__$______750____________________________________________________________________________
                 (send only one Club Check for total registrations,  not one personal check from each parent*)
 
 
Reason:   _____Host Fee for 1/6/19____________________________________________________________________
                                                       (number of Wrestlers and if Late Fee)         
 

 

                                                                 OR  (date and location of Tournament)
 

 
FOR CHECK REQUESTS:
(include copies of contracts or receipts)
 
 
Payable to:_______Kettle Run Wrestling Club________________________________ date__1/1/19________
 
 
Mailing Address:_______6256 Mint Spring Drive, Warrenton, VA  20187_______________________
 
Contact Name & Phone Number: ______Jana Bresson  540-222-2956____________________
 
 
Send this form; 1) alone with your club’s registration check for deposit*      …OR FOR
 
2) reimbursable with receipt, 3) $750.00 Host Fee two weeks before your meet date, and
 
a separate form for 4) the $300.00 athletic trainer fee to:
 
NVWF Treasurer
c/o James Zoller
6329 Bob White Drive

 
(*This form is used to send or request monies only, do not send with Registration Forms.)