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Annual Retirees' Breakfast Sign Up Form
I will attend the Breakfast on Tuesday, September 5, 2025 at the Merrimack Valley Country Club
Make check payable to MPSRA
Please print out the form and mail it and a $30 check to:
Lois Jacobs
3 Crest Dr. #9
Methuen, MA 01844
Name_________________________________________________________________
Address______________________________________________________________
Email_________________________________________________________________
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