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Merchandise Order Form
 
 
Name:
Address:
Town/City:                                      State:                            Zip Code:
Telephone No:                                         E-Mail Address:
Sex:         Age:             Weight:                   Height:
Runner       Race Walker           Cyclist       Multi-Sport Athlete  (circle)
Favorite Event:                                          Location:
What Are You Ordering? Please Include One Item Only In Each Line Below:
1.
2.
3.
How Much Money Have You Enclosed?
Please Remember To Include The U.S. Postal Service Charge (Postage & Handeling)

Please include this Merchandise Order Form with you check or money order.
Please make all checks payable to SSAC and mail to:
SSAC 224 1/2 Chandler Street #1, Worcester, Massachusetts 01609

 Expect 2-3 weeks for delivery