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For registration and banquet reservations, please complete, print, and mail this form to the treasurer of MTSNYS:
George Fisher MTSNYS Treasurer 222 East 24th St., Apt. 1B New York, NY 10010
Name: Street Address: City: State: Zip:
Registration: Individual $20 Student $10 Retired $10 Individual (Late) $25 Student (Late) $13 Retired (Late) $13 Membership: Individual $22 Student $12 Retired $12 Joint $28 Foreign Postage: $0 $5 TOTAL:
Created Monday, 21 February 2000