MASTERS SWIMMING CANADA

ORDER FORM

Publication/Item             Eng Fr All Age M/W | Qty Cost-Each  Cost-Total
_______________________________________________________________________

MSC News - current issue             x   x   x  |       $5.00
         - past issues               x   x   x  |       $2.00
MSC Pins                             x   x   x  |       $5.00
Hints for Coaching Masters        x  x   x   x  |       $5.00
MSC Workout Manual                   x   x   x  |       $5.00
MSC Rule Book                        x   x   x  |       $5.00
 "    "    "  plastic covers  x   x  x   x   x  |       $2.00
Records - Canadian            x   x      x   x  |       $5.00
        - World               x   x      x   x  |       $5.00
Top 10  - Canadian L/C        x   x  x          |       $2.00
        - Canadian S/C        x   x  x          |       $2.00
Top 10  - World L/C           x   x  x          |       $2.00
        - World S/C           x   x  x          |       $2.00
_______________________________________________________________________
    x - information not required                    Total Due

Fill in English/French request, Age, and Men/Women where relevant.
Top Ten's available by March of the following year

  NAME: __________________________________

  ADDRESS: _______________________________________________________

  CITY: ___________________________  PROV: _____  P.C. ______________

Please include payment with your order.
Make cheques payable to Masters Swimming Canada.
Mail to: Masters Swimming Canada, P.O. Box 3365, Meaford, ON, N4L 1A5