THE UNITED STATES FIGURE SKATING ASSOCIATION

Entry Fee - FORM F

1996 Pacific Coast Sectional Precision Figure Skating Championships

Entries must be post marked by the US Postal Service (not private postage meter) no later than Jan. 9, 1996. The entry fee is $100.00 per team and $15.00 per skater.

Mail Entry Fee To: Jean Fahmie
636 Adams St.
Albany CA 94706

Team Name:

USFSA Reg. No.

Club Name:

Contact Person:

Telephone No.

Number of Skaters: X $

Number of Alternates: X $

Team Entry Fee: $

Total Enclosed: $

Make check payable to: 1996 Pacific Coast Precision Championships

Return this entry form to the above named location no later than: Jan. 9, 1996

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