NordicSkating.org
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2010 Workshop Registration Form
Please fill out the entire form, then click "Submit Form".
We will contact you if there is a problem with your registration.
Name
:
Street / PO Box
:
Apt
.:
City
:
State / Province
:
Zip/Postal Code
:
Telephone
:
Best Time To Call
:
Email
:
Workshop Session
:
Select
Sat. Jan. 2, 1:00pm-4:00pm at Lake Morey
Sun. Jan. 17, 1:00pm-4:00pm at Lake Morey
Sat. Jan. 23, 1:00pm-4:00pm at Lake Morey
Sat. Feb. 6, 9:00am-11:00am at Lake George
Sun. Feb. 14, 9:00am-12:00pm at Lake Morey
Sun. Feb. 28, 9:00am-12:00pm at Lake Morey
Sun. Feb. 28, 1:00pm-4:00pm at Lake Morey
SHOE SIZE
:
Men's or Women's
:
Select
Men's
Women's
Credit Card Type
:
Select
Visa
Mastercard
Card Number
:
Expiration Month
:
Select
01
02
03
04
05
06
07
08
09
10
11
12
Year
:
Select
2008
2009
2010
2011
2012
2013
2014
2015
Last 3 Digits On Back
:
Message
:
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