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Master Card/Visa #:
_____________________________________ Exp. Date:
Name:
______________________________________
Address:____________________________________________________________
Phone: _____________________________ Amount
Enclosed: ________________
Make
checks Payable to: Williamsport Crosscutters
PO Box 3173,
Williamsport, PA 17701
(570) 326-3389 * mail@crosscutters.com
A Proud Affiliate of the Pittsburgh Pirates
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