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NATIONAL PIPE BAND REGISTRATION FORM
2012

Team Name  (Agency or Organization)  
 
Contact Person  E-mail
   
Mailing Address City  State  Zip
   
Phone Number Home Cellular  Pager
 
TEAM MEMBERS:
NAME
RANK/TITLE
  
(1) Leader    
(2) Officer    
(3) Officer    
(4) Officer    
(5) Officer    
(6) Officer    
(7) Officer    
(8) Officer    
 
 

Teams needing to register more than 8 members can submit additional registration forms.

Confirmation of registration will be sent via email within 48 hours of registration. If you do not receive a confirmation, please submit your registration again. If you still do not receive a confirmation, please call Ken Roske at 509-736-2396 or email at policeweekhg@aol.com.