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For registration, concert, lunch and banquet reservations, please complete, print, and mail this form to the treasurer of MTSNYS:
Timothy Johnson MTSNYS Treasurer School of Music Ithaca College Ithaca, NY 14850-7240
Name: Street Address: City: State: Zip:
Registration: Individual $20 Student $10 Retired $10 Individual (Late) $25 Student (Late) $13 Retired (Late) $13 Box Lunch, Saturday: $0 Veggie $4.95 Beef $4.95 Turkey $4.95 Banquet, Saturday: $0 $17 Concert, Saturday: $0 $5 Box Lunch, Sunday: $0 Veggie $4.95 Beef $4.95 Turkey $4.95 Membership: $0 Individual $22 Student $12 Retired $12 Joint $28 Foreign Postage: $0 $5 TOTAL:
Created Monday, 26 February 2001