Lake Nipmuc Association

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Old Man Winter 2010 - Mail-in Ticket form

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 Text Box:   $5.00 Per Ticket   Name: ___________________________________     Phone #: __________________________________     DEADLINE- - - - - - - - - - February 15, 2010       Date:____________ (month/date)   Time:_____________ (am/pm)                         Text Box:                                            THIS IS YOUR RECEIPT   1st Place — $500               2nd Place — $300 3rd Place — $200               4th Place — $100 5th Place — $100               6th Place —$100   DEADLINE for Tickets —- February 15, 2010       Date:____________ (month/date) Time:_____________  (am/pm)   Proceeds will be split evenly, after prizes and expenses, with the Mendon Parks Department (Environmental Education) and the Lake Nipmuc Association (Preservation of Lake Nipmuc).  You must be at least 18 years of age. In the case of any unforeseen technical difficulty in determining the exact time “Old Man Winter” falls through the ice the winning tickets will be drawn from a pool of all the tickets, place TBD.    Send To:  Treasurer, Lake Nipmuc Association, PO Box 159, Mendon, MA  01756 WE WILL POST YOUR TICKET NUMBER WITH YOUR TIMES ON OUR WEBSITE:  www.lakenipmuc.org   Text Box: Cut Here Text Box: Cut Here Text Box: Cut Here If you prefer to print a ticket and mail in a check: 

Absolute DEADLINE for Tickets - February 15, 2010

Download and printout the following Microsoft Word file.  Complete the ticket information with your name and phone number along with your selected date and time. 

Ice Out Ticket (Microsoft Word file)

Return the left portion of the ticket to:

Treasurer, Lake Nipmuc Association, PO Box 159, Mendon, MA  01756

 
 

This page was last updated Saturday, February 20, 2010 03:38 PM