New England Regional Ski for Light 
P.O. Box  861
Georgetown, MA  01833

www.nersfl.org


Winter 2007 Event Application
 

Name__________________________________Phone(H)_______________

Address________________________________         (W)_______________

      _________________________________           (C)_______________


E-mail _______________________________________

I am a guide_____visually impaired participant______

I need transportation to the event/s________(yes or no)

I can offer a ride to # _____ passengers ___to and ____from the event.

I wish to attend the following event/s.  Enclosed is my payment for:

___  Craftsbury Outdoor Center, January 5-8 for $240.00

        (Please register by December 1, 2006.)

___  Royalty Inn, Great Glen Trails/Bear Notch, March 2-4 for $140

        (Please register by December 1, 2006, with $25 deposit, balance of $115 is due by February 1, 2007.)

Detach and mail with payment to NERSFL, P.O.Box 861, Georgetown, MA 01833

Donations

We are a tax exempt not for profit 501c3 organization.  Any donations to NERSFL are greatly appreciated and are tax exempt.


We look forward to seeing you at one or both events!