# MyLife Junior

# Page 4 of 8

## Vending Machines:

Beverages (water/soda/juice)

How Many

x

Cost for each $ 2.00

=

+$

## Monthly Cost

Snacks (candy bar/chips/cookies

How Many

x

Cost for each $ 1.25

=

+$

Monthly Cost

## Restaurants:

Fast Food

Family Restaurants

Pizza

Specialty Themed Restaurants

Fine Dining

+$

Monthly Cost

+$

Monthly Cost

+$

Monthly Cost

+$

Monthly Cost

+$

Monthly Cost

#

of Visits x

#

of Visits x

#

of Visits x

#

of Visits x

#

of Visits x

Cost per visit $ 6.50

=

Cost per visit $ 12.00

=

Cost per visit $ 15.00

=

Cost per visit $ 20.00

=

Cost per visit $ 45.00

=

## Concerts/ Sporting Event Tickets:

## Concerts (Broadway Play/ Musical)

Concerts (Ballet & Dance)

Concerts (Rock Concert)

Sporting Events (NFL Tickets)

Sporting Events (NBA Tickets)

Sporting Events (Pro or semi pro)

Sporting Events (College Sports)

Sporting Events (High School)

Museum Tickets

How Many

How Many

How Many

How Many

How Many

How Many

How Many

How Many

How Many

x

Cost for each $ 135.00

x

Cost for each $ 70.00

x

Cost for each $ 135.00

x

Cost for each $ 85.00

x

Cost for each $ 45.00

x

Cost for each $ 30.00

x

Cost for each $ 10.00

x

Cost for each $ 5.00

x

Cost for each $ 35.00

=

=

=

=

=

=

=

=

=

+$

+$

+$

+$

+$

+$

+$

+$

+$

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

Monthly Cost

## Telephone (land line):

Monthly Cost

Please write in your telephone (land line) Monthly Cost:

+$

# http://pages.minot.k12.nd.us/votech/File/mylife/mylifejunior.htm

5/30/2014