Region 5 Contest Registration
FEE SUMMARY

School
Address		City	Zip
Advisor
School Telephone (            )		Email:
Number of contestants		Fee	Total
	Skills Only	x $0.00
	Leadership Only	x $0.00
	Both Leadership/Skills	x $0.00
	Models	x $0.00
	Advisors	x $0.00
		Total Amount Due

Make checks payable to:
SkillsUSA Region 5

Print this form and mail with check to:
Region 5 Coordinators
Ralph Bryan | Steve Mazzatenta