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ADVANCED GRADE COURSE REGISTRATION
Please contact the Squadron Educational Officer
by Phone or Facsimile at (781) 749-2994, or 
for confirmed starting dates of the course of your choice and course fees.
Print this page , fill it out and mail it, together with your check in the required amount to:
Bare Cove Sail & Power Squadron, PO Box 11 - Accord Station, Hingham MA 02018-0011
(Please print or type all entries)
NAME OF COURSE ____________________________________________
______________________________________________________________
______________________________________________________________
Last Name First Name
Initial
______________________________________________________________
Street Address
______________________________________________________________________
City/Town
State Zip Code
e-mail address
(_______) ________________ ___M___F ____/____/____ FEE $_________________
Area Code Telephone # Sex Date of Birth
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