PLEASE RETURN THIS REGISTRATION FORM TO:
NH JUMP$TART COALITION
51 JEFFERSON DRIVE
HILLSBORO, NH 03244.
CHECKS SHOULD BE MADE PAYABLE TO NH
JUMP$TART COALITION AND RECEIVED NO
LATER THAN AUGUST 4TH.
COMPANY NAME:
_________________________________________________________
CONTACT PERSON: _________________________________________
EMAIL:
____________________________________________________
PLAYER 1: ________________________E-MAIL: ___________________
PLAYER 2: ________________________E-MAIL: __________________
PLAYER 3: ________________________E-MAIL: __________________
PLAYER 4 _________________________E-MAIL: __________________
SPONSORSHIP LEVEL:
PLAYER FEES : PLAYERS @ $125 =
TOTAL AMOUNT ENCLOSED: $