2009
PENNSYLVANIA CONNIE MACK BASEBALL INC.
Name of League: BUX-MONT CONNIE MACK DIVISION: A
B1 B C1
C
Name of
Team: Please
circle appropriate league identifier.
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Name
of Player (Listed
alphabetically) |
Borough / Township: NOT Mailing Address |
Signature of player Only Required for ‘A’ League |
Birth date |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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16 |
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17 |
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18 |
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19 |
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20 |
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Legion Players:
1.___________________ 2._______________________ 3._____________________ |
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Include Legion Players twice – with
the list of 20 names and immediately above this note.
Manager
(Signature) _____________________________ Date____________________
Manager Mailing Address
(STREET)___________________________________ (CITY)__________________________ (ZIP)____________
Phone ________________________
Signature
of authorized representative from teams’ Organization:
______________________Date__________