CNC REGISTRATION FORM
FOR TEAMS DEDICATED
TO TAKING AMERICA BACK
Teams Director of communications:
______________________
Name: _____________________
Address: ___________________
City: ____________
State: ___ Zip code: _______
Phone: ____________
Fax: __________ Email: ________
___ Inclosed is the
$10.00 TAB team registration fee.
Mail To:
CNC
442 E. 1250 Rd.
Baldwin City, Ks
66006
(785) 594-3367
E-Mail: cnc@idir.net
http://www.idir.net/~cnc/
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