Make check payable to ASC

Name ______________________________________ Cost of Books $ _________

Address_____________________________________ Postage $__3.00____

__________________________________________ CT (only) 6% tax $ _________

City ___________________State______Zip_______ Amount Enclosed $ _________

MAIL TO:Cosimo Sgarlata, ASC Treasurer, 1 Roscoe Street, Norwalk, CT 06851