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Registration

"Kick it 4 Kids" to Benefit Albany PAL - Rescheduled from May 19th
Sunday June 10, 2018 / TBA / Plumeri Sports Complex, 20 Frisbie Avenue, Albany, NY 12209

Attendee(s) Information

Name
(As it should appear on name badge)
Email
Organization
Title
Member ($60)
Unisex T-Shirt Size
 

Payment Information

Total Cost:
First Name
Last Name
Address
Address 2
City/State/Zip / /
Phone
Email
Credit Card #
Expiration
CVV2
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