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BEST -- Beach Endurance Sports Team — Application

Print, complete and send this application, together with your annual dues:

___ $15.00 Individual    or        ___ $25.00 Family      (Pay the first TWO YEARS dues and get one free BEST T-shirt)          Mail to:

Beach Endurance Sports Team, 365 Charlemagne Circle, Ponte Vedra Beach, FL 32082

Please PRINT

Name ____________________________________________    Date ___________

Address _________________________________________________ Apt. ______

City _____________________________________ State _____ ZIP ____________

EMAIL __________________________________   Phone ____________________

FAX # ________________________       Age _________  Birthdate ______________ 

I will assist the Team as: __ Training Mentor __ Event Coordinator __ Social Coordinator

__ Sponsor Liaison  __ Newsletter Editor __ Weekly Training Contact __ Seminar Coordinator

__ Other ______________________________________________________________________

Favorite Sports in which you participate _______________________________________________________

Suggested Team Activities _________________________________________________________________

Additional Family Members: _______________________________ Age _____ Birthdate ________

                   _______________________________ Age _____ Birthdate ________

                   _______________________________ Age _____ Birthdate ________

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