The 17th Annual ROUND ROBIN DOUBLES By-Pass-Open Tennis Tournament

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REGISTRATION FORM

DATE :

May 17, 2010 (Rain or Shine)

PLACE:

Armonk Tennis Club 546 Bedford Road Route 22 Armonk New York, 10504

TIME:

8:30 AM to 4:00 PM

MINIMUM PLAYER SPONSORS' DONATION OF $100.00
PAYABLE TO: AMERICAN HEART ASSOCIATION

Mail To
By-Pass-Open
P.O. Box 950
Mt. Kisco, New York 10549

For information call: Herman A. Slotoroff (914) 666-9288

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(please tear off and return with your check)

NAME____________________________     DONATION $______

ADDRESS___________________________________________

CITY________________________STATE_______ZIP______________

PHONE_________________        DATE OF BIRTH ____________

GENDER: M F ßCircle Oneà Shirt Size: S M L XL

SORRY, I CAN'T ATTEND.  ENCLOSED IS MY DONATION OF $_______

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