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For registration and banquet reservations, please complete, print, and mail this form to the treasurer of MTSNYS:
George Fisher 4 Washington Sq. Village Apt. 7M New York, NY 10012
Name: Street Address: City: State: Zip:
Registration: Individual $20 Student $15 Retired $15 Individual (Late) $23 Student (Late) $18 Retired (Late) $18 Buffet: $13.00 No TOTAL ENCLOSED: $
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