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Team Name_____________________________
Team Manager__________________________
Address________________________________
City_________________State____Zip_______
Home #___________ Work #_____________
Cell #___________
Email ________________________________
Preferred League Placement_______________
Amount Enclosed $_________
Make checks payable to Bally Total Fitness.
Send to:
SoccerPlex
8785 SW Beaverton-Hillsdale Hwy
Portland, OR 97225 |
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