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Number of persons
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Course Costs
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Adults, Per Person
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$37.00
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Two Family members, 1 book
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$47.00
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12 to 18 years old
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$5.00 attending with adult
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12 to 18 years old
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$10.00 w/o adult attending
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Course
Date: ____/_____/_____
Course
Location: ___________________________
Amount paid
$___________ ( Make checks payable to Knoxville Power Squadron)
Name (s)
___________________________________________________
__________________________________________________________
Email address:
_______________________
Address:
__________________________________________________
_______________________________________________
Phone: Day
_____________ Evening _____________ Cell
_____________
MAIL TO: Knoxville Power Squadron
C/O: Larry W. Martin
114 Tudor Circle
Maryville TN 37803
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