March 11, 2000
| Name(s) | _____________________________________________________________ | ||
| Phone (H) | ____________________________ | (W) | ____________________________ |
| Address | _____________________________________________________________ | ||
| _____________________________________________________________ | |||
|
Enclose your check for $15 per person made payable to GWS-MBCA | |
| Print this form and send it and your check to: |
Sid Newman P.O. Box 223001 Chantilly, VA 20153 |