ACA Downriver Racing Information Request

ACA ATLANTIC DIVISION

OPEN CANOE SLALOM COMMITTEE

Downriver Racing
Information Request

INTERNET HOME OF THE

SKILL BUILDING bySLALOM RACING

Join our Mailing List:
Please fill out and submit this form to be added to our mailing list for information about Downriver racing in the New England area. Please notice the required fields marked with a red asterisk. Include as much of your information as possible to make sure we get you on the right list. This form will be forwarded to Bill Gardner for processing.

* = Required fields.

- This is my permanent address. ...................
- This is my temporary or school address. * First Name : * Last Name :
* Address :
* City : * State : * Zip : -

* Home Telephone Number, (incude area code):
Work Telephone Number, (include area code):
FAX- Telephone Number, (include area code):

* E-Mail Address :
Warning! Your form can not be processed if you do not include a valid E-Mail address.
ACA Membership Number :
USCT Membership Number:

Select one of the three notification catigories below. To help us reduce our postage and printing costs, please consider our e-mail notification option, or no notice at all now that you have the web site address.
*
www.mackro.maine.org

I am a member of the following Paddling Club(s):

I am interested in receiving information about the following:

- Downriver Whitewater Canoe Racing
- Flatwater Canoe Racing ...................
- Marathon Canoe Racing ...................

Because mailing budgets are limited, paddlers who live outside the Atlantic/New England region must enter a compelling reason to be added to our mailing list in the space below.

Be sure all entries are complete and correct, then click on 'Submit Form'.
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