Supply Order Form

Charter Name*

Charter Number*

Name*

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Items For Purchase*

AMA Membership Application Pad w/ Return Envelope25 applications per pad

$ Free Quantity

Membership Sales Report

$ Free Quantity

Tennessee Event Membership Application Pad w/ Return Envelope*(Competition) 25 applications per pad

$ Free Quantity

Tennessee Only Membership Sales Report*

$ Free Quantity

Adult Release & Waiver Form2,000 signatures per pack

$ Free Quantity

Minor Release Form100 signatures per pack

$ Free Quantity

Event Report Form(Recreation)

$ Free Quantity

Referee Report Form(Competition)

$ Free Quantity

Injury Report Form (Competition) six occurrences per sheet

$ Free Quantity

Recreational Statement of Responsibility Posters$3 each, 2 for $5, 5 for $10

$3.00 Quantity

Competition Statement of Responsibility Posters$3 each, 2 for $5, 5 for $10

$3.00 Quantity

Competition Rule Books

$5.00 Quantity

Black Poly AMA BannerDimensions: 3' X 6'

$25.00 Quantity

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Total

$0.00

Credit Card

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