New England Masters Skiing
186 Haverhill Road
Topsfield, MA 01983
(This is not an online form - please print it on your printer, complete it clearly, and mail it with a $25.00 check.  Your cancelled check is your receipt.)

Name: ________________________________  Birth Year: _________  M___  F___

Address:________________________________________ State:_____ Zip:________

Tel #: Ho__________________________ Wk __________________________

E-mail:__________________________________________

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