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ABC-3®
Pre-registration Form

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Number of persons

Course Costs

Adults, Per Person

$37.00

Two Family members, 1 book

$47.00

12 to 18 years old

$5.00 attending with adult

12 to 18 years old

$10.00 w/o adult attending

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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