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League Fees
TOWN/MEMBER ORGANIZATION
*
Coordinator's Name:
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Town/Member Organization:
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Mailing Address:
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Town:
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State:
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Zip Code:
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Mobile Phone for Primary Contact:
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Email for Primary Contact:
Information Above is Correct
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Additional Comments::
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SELECT FEE
$650.00 - Electronic
$682.50 - Offline By Check
