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2nd Annual World Rugby Conference
August 2nd and 3rd, 2001
Lake Placid Resort
REGISTRATION FORM

NAME: _____________________________________________________________

CURRENT CLUB:________________________________________________________

 _____Coach  (USA Rugby Certified?  Level_____)   _____Player ______Administrator
 
Did you attend 2000 Conference? _____Yes  _____No

MAILING ADDRESS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

PHONE:__________________________

DAYTIME PHONE:________________________

EMAIL:

______________________________________________________________________

2001 World Rugby Conference Shirt by "Canterbury of New Zealand"

_____Medium  _____Large  _____XLarge  _____XX Large

PAYMENT OPTIONS

______$215 For the Conference      ______$240 with extra Dinner Guest

______ Check (Payable to "New England Rugby")

For Credit Card Payment, please contact the Lake Placid Resort directly at
1 (800) 874-1980 and ask for the "World Rugby Conference".

Please return completed form along with Payment to
Glenn Lawson
Massachusetts College
Freel Library, Suite 9250
North Adams, MA  01247-4100
 
 
 
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