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PROFESSIONAL REGISTRATION FORM FOR THE YEAR 2013 Please complete the following and return with dues to TERPSICHORE MEMBERSHIP USTA 216 Passaic Avenue Fairfield, NJ 07004 (973) 2761170 US Terpsichore
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2013 USTA 31st Scrutineer TERPSICHORE USTerpsichoreAOL Passaic NJ Fairfield Adjudicator payable renewal Expiration Competitor

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