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Syosset Soccer Booster Club, Inc.

Support the program by joining the Booster Club. 2016 Membership Drive - $175 Membership includes: 2 shirts for each player (1 long sleeve and 1 short sleeve,each dry-fit style), coaches’ shirts, team parties and other expenses.

Fully refundable if your son does not make a team in the fall!

Player Name ___________________________

Parent Name ___________________________

Parent Email ___________________________

 $175  Cash/ Check #_____

Credit Card information

#_______________________ Expiration _________ Security Code ____ ZipCode _________
Note: Credit Card charges will appear on your statement as: SQ *CHARITY SYOSSET SO or something similar

Return form with cash, check or credit card information directly to Coach Waxer OR Mail form and payments to:

Eric Hornick
249 Berry Hill Road
Syosset, NY 11791
For any booster club questions, please call Eric directly at 516-946-4794

We had 100% participation in the Booster Club last season; thank you for your support!

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