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PRESENTED BY:

HOME  -  REGISTRATION FORM  -  QUESTIONAIRE  -  RULES & PROCEDURES

Date: Thursday, April 8, 2010
Time: 7:00pm-9:30pm
Where: Kooma (400 Justison Street, Riverfront, Wilmington)
Cost: $20 at the Door; $15 in Advance; $10 for Jaycees
Who: Ages 22-40

Directions:
(1) Fill out Registration Form, available at the bottom of this page (See instructions for downloading Registration Form Below).
(2) Check appropriate Payment Method. Use Paypal or follow payment method instructions on Registration Form.
(3) Fill out Questionnaire .
(4) E-mail completed Registration Form and Questionnaire  to
newcastlejaycees@gmail.com.

Registration Form and Payment must be received by Tuesday, April 6, 2010.  When Registration Form and Payment is received, organizers will e-mail you confirming your participation. 

Right click on the icon below, and select "Save Target As..."

 

Download SSM-RegistrationForm.doc