Mt. Institute Ski League

2012 Dues Form

Send to:

Marc Dancer
P.O. Box 345
Deerfield, Ma. 01342

All checks must be submitted to the league co-president by

January 15, 2012

Make checks payable to: M.I.R.S.

I know we've changed to MISL, but we are still MIRS to the bank.

Name of School
# of Varsity Teams		X $160.00	= $
# of J. V. Teams		X $160.00	= $
Total payment =			$