Midstate Trail Guide/Patch Form....

5th Edition

Send me________ Trail Guide @ $13.50 each   

Send me________ Midstate Trail Patch(es) @ $5.00 each

 Amount enclosed $____________

*Prices include postage and handling.

Name_______________________________________________

Address_____________________________________________

Town, State, Zip_______________________________________

Phone_______________________________________________

Email________________________________________________

Print this page and send with check made out to:  Worcester AMC-Midstate     

and mail to:

Midstate Trail

C/O Don Hoffses                                        

PO BOX 34

Boylston Ma 01505