Team Information: 

# of Coaches:    # of Players    # of Others

Team Contact:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Cell Phone
Home Phone
FAX
E-mail

Accommodations (Save 50% off your entry fee when your team stays on one of the Accommodation Plans)

	Plan	Meals	Dormitory	Select Plan
	A	3	$51.95
	B	2	$47.95

Arrival Date:               Arrival Time:
Departure Date:     Departure Time:

 

Payment Method:                 CC #.                                                            Exp Date:

Sending Check Visa Master Card Discover American Express             

Name on Card:

The Application fee is waived if your team selects one of the Lodging Accommodations

Your Application is not considered official until your Application Fee is received by Cocoa Expo.
 

Application fee is non-refundable once your team has been accepted