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Susquehanna Flight Park INC Cooperstown, NY Dan Guido 293 Shoemaker Rd 315-866-6153 315-867-8011 Mohawk, NY E-mail:

dguido@dfamilk.com

RESERVATION FOR CLASSES

Mail to: Dan Guido

293 Shoemaker Rd

Mohawk, NY 13407

NAME: ____________________________________________________________________________________________

ADDRESS:_________________________________________________________________________________________

CITY:___________________________________________ STATE: ___________________ ZIP: ____________________

PHONE: (________) _______________________________ AGE: _________ WEIGHT: __________________________

___________$25.00 deposit per student enclosed E-MAIL :____________________________________________________

Training package desired _______________________________________________________________________________

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