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    Mack Boring Diesel Engine Maintenance Workshop Enrollment Form
    May 22-23, 2004, Union, New Jersey
     

    Name:
    Address: 
    City: 
    State:    ZIP: 
    Phone:    
    Fax: 
    Email: 

    Price:  $300 NWSA Members; $345 Non-Members

    Terms:  $100 deposit required.  Balance due by April 30th.  Refunds allowed, less a $25 cancellation fee, up to 1 month prior.  No refunds after that date unless we fill your spot.  Space limited to 20 women.

    Included:  Two-day workshop with training materials and lunch.  Accommodations available nearby at Holiday Inn, Springfield, NJ. Call 1-973-376-9400.  NWSA has special rate.

    Enclosed is  my check for $    
         (Make payable to Women's Sailing Association.)

    Charge to:     Visa      Mastercard 
    No.

    Expiration Date:   /

    Authorized Signature:  ______________________________________________

    Mail to:  NWSA, 70A Pleasant St., Marblehead, MA 01945
    or Fax to:   781 631-2889