REGISTRATION FORM
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REGISTRATION FORM & DIRECTIONS.
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REGISTER by SEPTEMBER 5th

DIRECTIONS TO THE AUGUSTA ELKS CLUB. *   FROM THE NORTH—Take 1-95 South to exit 31, Route 27 North. Head North on Rt. 27 towards Belgrade. The Elks Club in on the right hand side of Rt. 27, about one mile from 1-95. Look for the big elk on the lawn in front of the club. *   FROM THE SOUTH—Take 1-95 North to exit 31-B, Route 27 North. Head North on Rt. 27 towards Belgrade. The Elks Club in on the right hand side of Rt. 27, about one mile from 1-95. Look for the big elk on the lawn in front of the club.  This important seminar is open to anyone regardless of your ability to pay. We want to extend a special thanks for the extra donations from our members and generous support from the participating vendors, our sponsors Alpha One and the Pine Tree Society, and for the funds generated by the silent auction and 50/50 drawing.      -------------------------------------------------------------------------------- Please sign me up for the Post Polio Seminar on September 13th 2003. Enclosed, please find a check for $__________ for ____(people attending) at $10.00 each. I have also included an additional contribution of $               . Total amount enclosed $    ______. Name:_______________________________________ Address:_____________________________________ City: _____________State: ___________ ZIP:_______ Please mail checks by September 5th in care of Post Polio Support Group of Maine 674 Hallowell Litchfield Road, West Gardiner, Maine 04345     www.PPSGM.org THANK YOU, AND WE’LL SEE YOU ON SEPTEMBER 13th AT THE AUGUSTA ELKS CLUB.