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CLUB NAME  
TRIP LEADER  
EMAIL ADDRESS  
HM PH# WK PH# CELL#

Deadlines:

$95 Early Registration ends 11/30/09           $125 Late/On site Registration After 11/30/09

$95 Regular Registration ends 11/30/09 $85 Youth Registration  

NAME (First, Last) Regular Late Youth
 
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NUMBER OF PERSONS REGISTERED ______ AMOUNT ENCLOSED ________

Make check payable to “NBS Midwest Region”

Send To:    Dean Cook

Address:      734 Yorkhaven Road

                     Cincinnati, Ohio 45246

  

Phone:         (513) 825-2974 home 

Email:          This e-mail address is being protected from spambots. You need JavaScript enabled to view it



 

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Last Updated

Clubs Directory last update: 2010-02-22 22:50:50