Lake Nipmuc Association

 

 

Old Man Winter 2011 - Mail-in Ticket form

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Last Year's Winning Time: March 10th at 12:12 PM

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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 
 
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If you prefer to print a ticket and mail in a check: 

Absolute DEADLINE for Tickets - February 15, 2011

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 Tickets (487KB PDF file)

Return the left portion of the ticket to:

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

 

 

This page was last updated Sunday, February 06, 2011 12:30 PM