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- New York Rangers Fan Club Trip Sign Up - (Print This Form and Mail To Address Below) |
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| Trip Name & Date ___________________________________________________________________ | ||||
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Please fill out a separate form for each person. |
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Name: _________________________________________ Member # _______________________ |
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Street Address: _____________________________________________________________________ |
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City State & Zip: _____________________________________________________________________ |
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| Phone: (days) _________________________ (eves) ____________________________ | ||||
| E-mail: __________________________________________ | ||||
| Room if applicable: ___Single ___Double ___Triple ___ Quad | ||||
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_______ Smoking _________ Non-Smoking |
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| Roommates if applicable: | ||||
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1. _________________________________________________________ |
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2. _________________________________________________________ |
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3. _________________________________________________________ |
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| Please mail this form and your full payment (check or money order) to: | ||||
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